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Asymmetric Closure of Ischiopubic Synchondrosis in Pediatric Patients: Correlation with Foot Dominance

Andreas M. Herneth1,2, Marcel O. Philipp2, Michael L. Pretterklieber3, Csilla Balassy2, Friedrich W. Winkelbauer2 and Christopher F. Beaulieu1

1 Department of Radiology, Stanford University School of Medicine, Medical Center S056, Stanford, CA 94305-5105.
2 Department of Radiology, University of Vienna, Austria, Wahringer Gurtel 18-20, Vienna A-1090, Austria.
3 Institute of Anatomy, University of Vienna, Austria, Wahringer Strasse 13, Vienna A-1090, Austria.



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  		Fig. 1A. —11-year-old left-footed boy with unilateral enlarged right ischiopubic synchondrosis. Radiograph of pelvis shows radiolucent enlargement of right ischiopubic synchondrosis (arrow), indicating delayed closure of this temporary joint, which is presumably due to asymmetrically applied mechanical strain to pelvis during certain athletic activities.

 


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  		Fig. 1B. —11-year-old left-footed boy with unilateral enlarged right ischiopubic synchondrosis. Radiograph of pelvis shows magnification of right enlarged ischiopubic synchondrosis (arrows).

 


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  		Fig. 1C. —11-year-old left-footed boy with unilateral enlarged right ischiopubic synchondrosis. Radiograph of pelvis shows magnification of unenlarged, ossified left ischiopubic synchondrosis (arrows).

 


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  		Fig. 2A. —9-year-old right-footed girl with bilateral enlarged ischiopubic synchondroses. Radiograph (anteroposterior view) of pelvis shows radiolucent enlargement of both ischiopubic synchondroses (arrows). Note tumorlike appearance of this anatomic structure, which is presumably physiologic reaction to mechanical stress.

 


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  		Fig. 2B. —9-year-old right-footed girl with bilateral enlarged ischiopubic synchondroses. Axial T1-weighted spin-echo image (TR/TE, 525/25) shows enlargement of ischiopubic synchondroses (arrows) before ossification of this temporary joint.

 

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