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Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance.

Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. Research Abstract Details 

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  • Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. Abstract Text:

    andreas m hernethAndreas M Herneth,marcel o philippMarcel O Philipp,michael l pretterklieberMichael L Pretterklieber,csilla balassyCsilla Balassy,friedrich w winkelbauerFriedrich W Winkelbauer,christopher f beaulieuChristopher F Beaulieu,

    OBJECTIVE: The enlarged ischiopubic synchondrosis is a well-known anatomic structure; however, little is known about its physiology. In early childhood, enlargement of this synchondrosis occurs bilaterally, whereas before complete ossification, it is frequently found unilaterally. In most children, the unilateral enlarged ischiopubic synchondrosis is observed in the left hemipelvis, a finding that was hitherto unexplained. During common athletic activities, increased ground reaction forces are exerted on the weight-bearing nondominant limb, which in up to 87% of the general population is the left leg. The asymmetric exertion of these forces may explain the distinct closure sequence of this temporary joint. The purpose of this study was to correlate unilateral enlarged ischiopubic synchondrosis with foot dominance. MATERIALS AND METHODS: The study cohort comprised 32 children who had undergone unenhanced radiography, CT, or MRI for reasons other than bone disorders and who presented with enlarged ischiopubic synchondroses. In these children, the distribution of enlarged ischiopubic synchondrosis and foot dominance were evaluated either retrospectively (n = 11) or prospectively (n = 21). RESULTS: In this cohort, 78% of patients were right-footed and 22% were left-footed. Nine of the 32 children presented with unilateral enlarged ischiopubic synchondrosis (left, seven [78%] of nine; right, two [22%] of nine). All children with enlarged left ischiopubic synchondrosis were right-footed, and all children with enlarged right ischiopubic synchondrosis were left-footed. CONCLUSION: Unilateral enlarged ischiopubic synchondrosis is closely correlated with foot dominance. The asymmetric ossification pattern of the ischiopubic synchondrosis indicates delayed ossification of this anatomic structure due to asymmetrically applied mechanical forces to the nondominant limb.

    Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. Publishing Authors By Initials

    am hernethAM Herneth,mo philippMO Philipp,ml pretterklieberML Pretterklieber,c balassyC Balassy,fw winkelbauerFW Winkelbauer,cf beaulieuCF Beaulieu,

    For similar biomechanics: weight-bearing research abstracts see: biomechanics: weight-bearing research

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    Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: AJR. American journal of roentgenology

    VOLUME: 182

    Page Numbers: 361-5

    Journal Abbreviation:

    ISSN: 0361-803X

    DAY: 15

    MONTH: Feb

    YEAR: 2004

    Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7708173

    Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance. Keywords Mesh Terms:

    KEYWORDS: Weight-Bearing

    MESH TERMS: pathology

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    Grant and Affiliation Information for Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance.

    AFFILIATION: Department of Radiology, Stanford University School of Medicine, Medical Center S056, Stanford, CA 94305-5105, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: AJR Am J Roentgenol

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