Central Acetabular Roof Defect-More than Just a Normal Variant?
Published: March 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/46880.14633
Muhammad Adeel Akhtar, Joanne Edwards, Rebecca Tate, Ian Curzon, Richard J Montgomery
1. Consultant Orthopaedic Surgeon, Department of Trauma and Orthopaedic Surgery, NHS Fife, Fife, United Kingdom.
2. Speciality Registrar Radiology, Department of Radiology, NHS County Durham and Darlington FT, Durham, United_Kingdom.
3. Consultant Paediatric Orthopaedic Surgeon, Department of Trauma and Orthopaedic Surgery, South Tees NHS FT, Middlesbrough, United Kingdom.
4. Consultant Paediatric Orthopaedic Surgeon, Department of Radiology, South Tees NHS FT, Middlesbrough, United Kingdom.
5. Honorary Consultant, Department of Trauma and Orthopaedic Surgery, South Tees NHS FT, Middlesbrough, United Kingdom.
Correspondence
Joanne Edwards,
University Hospital of North Durham, North Road, Durham, United Kingdom.
E-mail: joanne.edwards@doctors.net.uk
Central acetabular defects are rare, and have been described using various terminologies (notches, fossae, pits). They are generally regarded as normal variants and often overlooked. This case series reviews five cases (age range 9-14 years) where presentation included hip pain and no alternative pathology was found. The defects tend to be bilateral but not symmetrical, and often just the side with the largest defect is symptomatic. The aetiology is unknown but there was no recollection of prior trauma. The literature suggests they are developmental in nature. The cases series highlights that these anatomical variants should not be entirely disregarded when imaging is reviewed.
[
FULL TEXT ] | [ PDF]