Skip to main content
Erschienen in: Pediatric Radiology 13/2018

03.09.2018 | Original Article

Maturation of pelvic ossification centers on computed tomography in normal children

verfasst von: Leslie E. Grissom, Mary P. Harty, Grace W. Guo, Heidi H. Kecskemethy

Erschienen in: Pediatric Radiology | Ausgabe 13/2018

Einloggen, um Zugang zu erhalten

Abstract

Background

The pelvis is composed of three paired primary ossification centers: the pubis, the ischium and the ilium. During maturation, multiple secondary ossification centers can be seen in the synchondroses between these bones and in the pelvic apophyses. The fragmented appearance of these centers can be confused with pathology.

Objective

To examine development of pelvic ossification centers by CT and determine normal appearance throughout childhood.

Materials and methods

Three pediatric radiologists reviewed 325 pelvic CT scans in children and young adults 5–18 years old and graded 6 pelvic ossification centers to evaluate maturational changes in critical structures.

Results

Rate and progression of ossification and age at complete fusion vary with gender at the different ossification centers in the growing pelvis.

Conclusion

Knowledge of the normal CT appearance of ossification centers throughout childhood is important to differentiate the normal appearance from pathology.
Literatur
1.
Zurück zum Zitat Keats TE, Anderson MW (2013) Atlas of normal roentgen variants that may simulate disease, 9th edn. Elsevier, Philadelphia Keats TE, Anderson MW (2013) Atlas of normal roentgen variants that may simulate disease, 9th edn. Elsevier, Philadelphia
2.
Zurück zum Zitat Newell RLM (2005) Pelvic girdle, gluteal region, and hip joint. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 39th edn. Elsevier, Philadelphia, pp 1421–1438 Newell RLM (2005) Pelvic girdle, gluteal region, and hip joint. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 39th edn. Elsevier, Philadelphia, pp 1421–1438
3.
Zurück zum Zitat Collins P (2005) Functional anatomy of the musculoskeletal system. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 39th edn. Elsevier, Philadelphia, pp 97–108 Collins P (2005) Functional anatomy of the musculoskeletal system. In: Standring S (ed) Gray’s anatomy: the anatomical basis of clinical practice, 39th edn. Elsevier, Philadelphia, pp 97–108
5.
Zurück zum Zitat Hacquebord JH, Leopold SS (2012) The Risser classification: a classic tool for the clinician treating adolescent idiopathic scoliosis. Clin Orthop Relat Res 470:2335–2338CrossRef Hacquebord JH, Leopold SS (2012) The Risser classification: a classic tool for the clinician treating adolescent idiopathic scoliosis. Clin Orthop Relat Res 470:2335–2338CrossRef
6.
Zurück zum Zitat Hergan K, Oser W, Moriggl B (2000) Acetabular ossicles: normal variant or disease entity? Eur Radiol 10:624–628CrossRef Hergan K, Oser W, Moriggl B (2000) Acetabular ossicles: normal variant or disease entity? Eur Radiol 10:624–628CrossRef
7.
Zurück zum Zitat Ponseti IV (1978) Growth and development of the acetabulum in the normal child. Anatomical, histological, and roentgenographic studies. J Bone Joint Surg Am 60:575–585CrossRef Ponseti IV (1978) Growth and development of the acetabulum in the normal child. Anatomical, histological, and roentgenographic studies. J Bone Joint Surg Am 60:575–585CrossRef
8.
Zurück zum Zitat Scheuer L, Black S, Cunningham C (2000) Developmental juvenile osteology. Elsevier, London Scheuer L, Black S, Cunningham C (2000) Developmental juvenile osteology. Elsevier, London
9.
Zurück zum Zitat Gibbon WW, Hession PR (1997) Diseases of the pubis and pubic symphysis: MR imaging appearances. AJR Am J Roentgenol 169:849–853CrossRef Gibbon WW, Hession PR (1997) Diseases of the pubis and pubic symphysis: MR imaging appearances. AJR Am J Roentgenol 169:849–853CrossRef
10.
Zurück zum Zitat Eich GF, Babyn P, Giedion A (1992) Pediatric pelvis radiographic appearance in various congenital disorders. Radiographics 12:467–484CrossRef Eich GF, Babyn P, Giedion A (1992) Pediatric pelvis radiographic appearance in various congenital disorders. Radiographics 12:467–484CrossRef
12.
Zurück zum Zitat Caffey J, Ross SE (1956) The ischiopubic synchondrosis in healthy children: some normal roentgenologic findings. Am J Roentgenol Radium Ther Nucl Med 76:488–494PubMed Caffey J, Ross SE (1956) The ischiopubic synchondrosis in healthy children: some normal roentgenologic findings. Am J Roentgenol Radium Ther Nucl Med 76:488–494PubMed
13.
Zurück zum Zitat Cawley KA, Dvorak AD, Wilmot MD (1983) Normal anatomic variant: scintigraphy of the ischiopubic synchondrosis. J Nucl Med 24:14–16PubMed Cawley KA, Dvorak AD, Wilmot MD (1983) Normal anatomic variant: scintigraphy of the ischiopubic synchondrosis. J Nucl Med 24:14–16PubMed
14.
Zurück zum Zitat Herneth AM, Philipp MO, Pretterklieber ML et al (2004) Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. AJR Am J Roentgenol 182:361–365CrossRef Herneth AM, Philipp MO, Pretterklieber ML et al (2004) Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. AJR Am J Roentgenol 182:361–365CrossRef
15.
Zurück zum Zitat Kloiber R, Udjus K, McIntyre W, Jarvis J (1988) The scintigraphic and radiographic appearance of the ischiopubic synchondrosis in normal children and in osteomyelitis. Pediatr Radiol 18:557–561CrossRef Kloiber R, Udjus K, McIntyre W, Jarvis J (1988) The scintigraphic and radiographic appearance of the ischiopubic synchondrosis in normal children and in osteomyelitis. Pediatr Radiol 18:557–561CrossRef
16.
Zurück zum Zitat Portinaro NM, Porteous A, Parafioriti A et al (2011) Growth of the acetabular lateral cartilage in relation to congenital and developmental dysplasia of the hip. An [sic] histological study. Hip Int 21:9–13CrossRef Portinaro NM, Porteous A, Parafioriti A et al (2011) Growth of the acetabular lateral cartilage in relation to congenital and developmental dysplasia of the hip. An [sic] histological study. Hip Int 21:9–13CrossRef
17.
Zurück zum Zitat Martinez AE, Li SM, Ganz R, Beck M (2006) Os acetabuli in femoro-acetabular impingement: stress fracture or unfused secondary ossification centre of the acetabular rim? Hip Int 16:281–286CrossRef Martinez AE, Li SM, Ganz R, Beck M (2006) Os acetabuli in femoro-acetabular impingement: stress fracture or unfused secondary ossification centre of the acetabular rim? Hip Int 16:281–286CrossRef
18.
Zurück zum Zitat Nguyen MS, Kheyfits V, Giordano BD et al (2013) Hip anatomic variants that may mimic pathologic entities on MRI: nonlabral variants. AJR Am J Roentgenol 201:W401–W408CrossRef Nguyen MS, Kheyfits V, Giordano BD et al (2013) Hip anatomic variants that may mimic pathologic entities on MRI: nonlabral variants. AJR Am J Roentgenol 201:W401–W408CrossRef
19.
Zurück zum Zitat Gotz W, Funke M, Fischer G et al (1993) Epiphysial ossification centres in iliosacral joints: anatomy and computed tomography. Surg Radiol Anat 15:131–137CrossRef Gotz W, Funke M, Fischer G et al (1993) Epiphysial ossification centres in iliosacral joints: anatomy and computed tomography. Surg Radiol Anat 15:131–137CrossRef
20.
Zurück zum Zitat Broome DR, Hayman LA, Herrick RC et al (1998) Postnatal maturation of the sacrum and coccyx: MR imaging, helical CT, and conventional radiography. AJR Am J Roentgenol 170:1061–1066CrossRef Broome DR, Hayman LA, Herrick RC et al (1998) Postnatal maturation of the sacrum and coccyx: MR imaging, helical CT, and conventional radiography. AJR Am J Roentgenol 170:1061–1066CrossRef
21.
Zurück zum Zitat Cardoso HF, Pereira V, Rios L (2014) Chronology of fusion of the primary and secondary ossification centers in the human sacrum and age estimation in child and adolescent skeletons. Am J Phys Anthropol 153:214–225CrossRef Cardoso HF, Pereira V, Rios L (2014) Chronology of fusion of the primary and secondary ossification centers in the human sacrum and age estimation in child and adolescent skeletons. Am J Phys Anthropol 153:214–225CrossRef
22.
Zurück zum Zitat Zejden A, Jurik GA (2017) Anatomy of the sacroiliac joints in children and adolescents by computed tomography. Pediatr Rheumatol 15:82CrossRef Zejden A, Jurik GA (2017) Anatomy of the sacroiliac joints in children and adolescents by computed tomography. Pediatr Rheumatol 15:82CrossRef
23.
Zurück zum Zitat Caffey J, Madell SH (1956) Ossification of the pubic bones at birth. Radiology 67:346–350CrossRef Caffey J, Madell SH (1956) Ossification of the pubic bones at birth. Radiology 67:346–350CrossRef
24.
Zurück zum Zitat Bayer J, Neubauer J, Saueressig U et al (2016) Age- and gender-related characteristics of the pubic symphysis and triradiate cartilage in pediatric computed tomography. Pediatr Radiol 46:1705–1712CrossRef Bayer J, Neubauer J, Saueressig U et al (2016) Age- and gender-related characteristics of the pubic symphysis and triradiate cartilage in pediatric computed tomography. Pediatr Radiol 46:1705–1712CrossRef
Metadaten
Titel
Maturation of pelvic ossification centers on computed tomography in normal children
verfasst von
Leslie E. Grissom
Mary P. Harty
Grace W. Guo
Heidi H. Kecskemethy
Publikationsdatum
03.09.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 13/2018
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-018-4233-6

Weitere Artikel der Ausgabe 13/2018

Pediatric Radiology 13/2018 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.