Postmortem studies of ten normal full-term infants and of three
children, seven, nine, and fourteen years old, showed that the acetabular
cartilage complex is a unit that is triradiate medially and cup-shaped
laterally and is interposed between the ilium, ischium, and pubis. This
complex is composed of epiphyseal growth-plate cartilage adjacent to these
bones, of articular cartilage adjacent to these bones, of articular
cartilage around the acetabular cavity, and, for the most part, of hyaline
carilage. Interstitial growth within the triradiate part of the cartilage
complex causes the hip socket to expand during growth. The concavity of the
acetabulum develops in response to the presence of the spherical femoral
head. The depth of the acetabulum increased during development as the
result of interstitial growth in the acetabular cartilage, of appositional
growth at the periphery of this cartilage, and of periosteal new-bone
formation at the acetabular margin. At puberty, three secondary centers of
ossification appear in the hyaline cartilage surrounding the acetabular
cavity. These centers are homologous with other epiphyses in the skeleton.
The os acetabuli, which is the epiphysis of the os pubis, forms the
anterior wall of the acetabulum. The epiphysis of the ilium, which has been
called the acetabular epiphysis, forms a good part of the superior wall of
the acetabulum. A small epiphysis of the ischium was seen in the oldest
patient, who was fourteen years old. The bone in these epiphyses expands
toward the periphery of the acetabulum and thus contributes to its increase
in depth.