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The Journal of Bone and Joint Surgery 78:1945-6 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

R. Schenk, Prof. Dr. med., Thomas A. Einhorn, M.D., J. A. Buckwalter, M.D., R. R. Cooper, M.D., M. J. Glimcher, M.D. and R. Recker, M.D.

TO THE EDITOR:

Recently, The Journal of Bone and Joint Surgery published two interesting articles, "Current Concepts Review. Enhancement of Fracture-Healing" (77-A: 940-956, June 1995), by Einhorn, and "Instructional Course Lecture. Bone Biology. Part II: Formation, Form, Modeling, Remodeling, and Regulation of Cell Function" (77-A: 1276-1289, Aug. 1995), by Buckwalter et al. Surprisingly, both articles propagate the same erroneous idea—that is, that the pelvis is formed by membranous instead of endochondral ossification. In fact, the ossification and, later, the growth pattern of the pelvis is one of the most fascinating examples of endochondral ossification, especially in view of the appearance of multiple ossification centers, the enlargement of the acetabulum by means of the Y-shaped growth plate, the marginal epiphyseal plate along the iliac crest, and the bipolar growth cartilage in the inferior branch of the pubic bone. These features are worth remembering by anybody who works in the field of . . . [Full Text of this Article]


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