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- W2019370181 abstract "The hip joint is a deceptively complex ball and socket, which is the result of coordinated growth of four different bones: the femur, ilium, ischium, and pubis, centered around two main physeal cartilages, that of the triradiate cartilage and that of the proximal femur. Complex and coordinated growth at all these bony structures and physes culminates in the adult with a fully formed articulation, which must bear the entire weight of an individual for the rest of the individual’s lifetime. The hip joint endures great stresses throughout life and normal morphology is critical to its normal function. Errors in its development during childhood, whether congenital or acquired, commonly result in a shape that is ill suited to normal motion and prolonged weight bearing and places severe limitations on movement, ultimately ending in early osteoarthritis and joint replacement. Throughout its development, pathologic processes are well imaged by MR imaging before, during, and after ossification. In infancy, MR imaging depicts well the cartilaginous model of the pelvis and is very useful for the preoperative and postoperative care of patients with developmental dysplasia of the hip (DDH), proximal focal femoral deficiency (PFFD), and some osteochondrodysplasias. Later in childhood, when the limping child is a major diagnostic dilemma, MR imaging is extremely helpful in the identification of such varied disease processes as osteomyelitis, septic arthritis, traumatic injuries, and especially Legg-Calve´-Perthes (LCP) disease where MR imaging is useful not only at the initial stage of diagnosis but in assessing disease progression and planning therapy. In adolescence, MR imaging is an exciting complement to conventional radiography in the early diagnosis of slip of the capital femoral epiphysis. Finally, as femoral acetabular impingement syndromes become more emphasized, MR imaging has a unique advantage as an imaging tool because it is able to image both the ossified and nonossified structures, such as the labrum, in a single examination and without exposure to ionizing radiation. Furthermore, with proper sequences an arthrogram-like effect can be produced that allows analysis of the central overarching question of femoral head coverage." @default.
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- W2019370181 date "2009-11-01" @default.
- W2019370181 modified "2023-09-25" @default.
- W2019370181 title "The Hip: MR Imaging of Uniquely Pediatric Disorders" @default.
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- W2019370181 doi "https://doi.org/10.1016/j.rcl.2009.08.004" @default.
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