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Published in: Skeletal Radiology 9/2014

01-09-2014 | Scientific Article

Skeletal development of the glenoid and glenoid–coracoid interface in the pediatric population: MRI features

Authors: Shefali Kothary, Zehava Sadka Rosenberg, Leonardo L. Poncinelli, Steven Kwong

Published in: Skeletal Radiology | Issue 9/2014

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Abstract

Objective

To assess the MRI appearance of normal skeletal development of the glenoid and glenoid–coracoid interface in the pediatric population. To the best of our knowledge, this has not yet been studied in detail in the literature.

Materials and methods

An IRB-approved, HIPAA-compliant retrospective review of 105 consecutive shoulder MRI studies in children, ages 2 months to 18 years was performed. The morphology, MR signal, and development of the following were assessed: (1) scapular-coracoid bipolar growth plate, (2) glenoid and glenoid–coracoid interface secondary ossification centers, (3) glenoid advancing osseous surface.

Results

The glenoid and glenoid–coracoid interface were identified in infancy as a contiguous, cartilaginous mass. A subcoracoid secondary ossification center in the superior glenoid was identified and fused in all by age 12 and 16, respectively. In ten studies, additional secondary ossification centers were identified in the inferior two-thirds of the glenoid. The initial concavity of the glenoid osseous surface gradually transformed to convexity, matching the convex glenoid articular surface. The glenoid growth plate fused by 16 years of age. Our study, based on MRI, demonstrated a similar pattern of development of the glenoid and glenoid coracoid interface to previously reported anatomic and radiographic studies, except for an earlier development and fusion of the secondary ossification centers of the inferior glenoid.

Conclusions

The pattern of skeletal development of the glenoid and glenoid–coracoid interface follows a chronological order, which can serve as a guideline when interpreting MRI studies in children.
Literature
1.
go back to reference Cardoso HF. Age estimation of adolescent and young adult male and female skeletons II, epiphyseal union at the upper limb and scapular girdle in a modern Portuguese skeletal sample. Am J Phys Anthropol. 2008;137(1):97–105.PubMedCrossRef Cardoso HF. Age estimation of adolescent and young adult male and female skeletons II, epiphyseal union at the upper limb and scapular girdle in a modern Portuguese skeletal sample. Am J Phys Anthropol. 2008;137(1):97–105.PubMedCrossRef
2.
go back to reference Chapman VM, Nimkin K, Jaramillo D. The pre-ossification center: normal CT and MRI findings in the trochlea. Skeletal Radiol. 2004;33(12):725–7.PubMedCrossRef Chapman VM, Nimkin K, Jaramillo D. The pre-ossification center: normal CT and MRI findings in the trochlea. Skeletal Radiol. 2004;33(12):725–7.PubMedCrossRef
3.
go back to reference Chauvin NA, Jaimes C, Laor T, Jaramillo D. Magnetic resonance imaging of the pediatric shoulder. Magn Reson Imaging Clin N Am. 2012;20(3):327–47.PubMedCrossRef Chauvin NA, Jaimes C, Laor T, Jaramillo D. Magnetic resonance imaging of the pediatric shoulder. Magn Reson Imaging Clin N Am. 2012;20(3):327–47.PubMedCrossRef
4.
go back to reference Chung T, Jaramillo D. Normal maturing distal tibia and fibula: changes with age at MR imaging. Radiology. 1995;194(1):227–32.PubMedCrossRef Chung T, Jaramillo D. Normal maturing distal tibia and fibula: changes with age at MR imaging. Radiology. 1995;194(1):227–32.PubMedCrossRef
5.
go back to reference Ecklund K, Jaramillo D. Imaging of growth disturbance in children. Radiol Clin North Am. 2001;39(4):823–41.PubMedCrossRef Ecklund K, Jaramillo D. Imaging of growth disturbance in children. Radiol Clin North Am. 2001;39(4):823–41.PubMedCrossRef
6.
go back to reference Jaimes C, Jimenez M, Marin D, Ho-Fung V, Jaramillo D. The trochlear pre-ossification center: a normal developmental stage and potential pitfall on MR images. Pediatr Radiol. 2012;42(11):1364–71.PubMedCrossRef Jaimes C, Jimenez M, Marin D, Ho-Fung V, Jaramillo D. The trochlear pre-ossification center: a normal developmental stage and potential pitfall on MR images. Pediatr Radiol. 2012;42(11):1364–71.PubMedCrossRef
7.
go back to reference Jans LB, Jaremko JL, Ditchfield M, Verstraete KL. Evolution of femoral condylar ossification at MR imaging: frequency and patient age distribution. Radiology. 2011;258(3):880–8.PubMedCrossRef Jans LB, Jaremko JL, Ditchfield M, Verstraete KL. Evolution of femoral condylar ossification at MR imaging: frequency and patient age distribution. Radiology. 2011;258(3):880–8.PubMedCrossRef
8.
go back to reference Jaramillo D, Waters PM. MR imaging of the normal developmental anatomy of the elbow. Magn Reson Imaging Clin N Am. 1997;5(3):501–13.PubMed Jaramillo D, Waters PM. MR imaging of the normal developmental anatomy of the elbow. Magn Reson Imaging Clin N Am. 1997;5(3):501–13.PubMed
9.
go back to reference Kim HK, Emery KH, Salisbury SR. Bare spot of the glenoid fossa in children: incidence and MRI features. Pediatr Radiol. 2010;40(7):1190–6.PubMedCrossRef Kim HK, Emery KH, Salisbury SR. Bare spot of the glenoid fossa in children: incidence and MRI features. Pediatr Radiol. 2010;40(7):1190–6.PubMedCrossRef
10.
go back to reference Kwong S, Kothary S, Poncinelli L. Skeletal development of the proximal humerus in the pediatric population: MRI features. AJR. 2014;202(2):418–25.PubMedCrossRef Kwong S, Kothary S, Poncinelli L. Skeletal development of the proximal humerus in the pediatric population: MRI features. AJR. 2014;202(2):418–25.PubMedCrossRef
11.
go back to reference Laor T, Jaramillo D. MR Imaging insights into skeletal maturation: what is normal? Radiology. 2009;250(1):28–38.PubMedCrossRef Laor T, Jaramillo D. MR Imaging insights into skeletal maturation: what is normal? Radiology. 2009;250(1):28–38.PubMedCrossRef
12.
go back to reference Ly JQ, Bui-Mansfield LT, Kline MJ, DeBerardino TM, Taylor DC. Bare area of the glenoid: magnetic resonance appearance with arthroscopic correlation. J Comput Assist Tomogr. 2004;28(2):229–32.PubMedCrossRef Ly JQ, Bui-Mansfield LT, Kline MJ, DeBerardino TM, Taylor DC. Bare area of the glenoid: magnetic resonance appearance with arthroscopic correlation. J Comput Assist Tomogr. 2004;28(2):229–32.PubMedCrossRef
13.
go back to reference Mao JJ, Nah HD. Growth and development: hereditary and mechanical modulations. Am J Orthod Dentofacial Orthop. 2004;125(6):676–89.PubMedCrossRef Mao JJ, Nah HD. Growth and development: hereditary and mechanical modulations. Am J Orthod Dentofacial Orthop. 2004;125(6):676–89.PubMedCrossRef
14.
go back to reference Ogden JA, Phillips SB. Radiology of postnatal skeletal development. VII. The scapula. Skeletal Radiol. 1983;9(3):157–69.PubMedCrossRef Ogden JA, Phillips SB. Radiology of postnatal skeletal development. VII. The scapula. Skeletal Radiol. 1983;9(3):157–69.PubMedCrossRef
15.
go back to reference Scheuer L, Black S. “The pectoral girdle.” Developmental juvenile osteology. San Diego, CA: Elsevier Academic Press, 2000. 252–271. Print. Scheuer L, Black S. “The pectoral girdle.” Developmental juvenile osteology. San Diego, CA: Elsevier Academic Press, 2000. 252–271. Print.
16.
go back to reference Varich LJ, Laor T, Jaramillo D. Normal maturation of the distal femoral epiphyseal cartilage: age-related changes at MR imaging. Radiology. 2000;214(3):705–9.PubMedCrossRef Varich LJ, Laor T, Jaramillo D. Normal maturation of the distal femoral epiphyseal cartilage: age-related changes at MR imaging. Radiology. 2000;214(3):705–9.PubMedCrossRef
18.
go back to reference Zawin J, Jaramillo D. Conversion of bone marrow in the humerus, sternum, and clavicle: changes with age on MR images. Radiology. 1993;188(1):159–64.PubMedCrossRef Zawin J, Jaramillo D. Conversion of bone marrow in the humerus, sternum, and clavicle: changes with age on MR images. Radiology. 1993;188(1):159–64.PubMedCrossRef
Metadata
Title
Skeletal development of the glenoid and glenoid–coracoid interface in the pediatric population: MRI features
Authors
Shefali Kothary
Zehava Sadka Rosenberg
Leonardo L. Poncinelli
Steven Kwong
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 9/2014
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-014-1936-0

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