The pelvic teardrop, alternatively referred to as the U-figure or Köhler teardrop, presents a distinctive radiographic feature discernible in pelvic X-rays. It arises from the end-on projection of a bony ridge along the floor of the acetabular fossa, offering valuable insights into pelvic anatomy. In adults, it serves as a crucial marker for measuring the acetabular angle and Köhler teardrop distance. Intriguingly, alterations in the pelvic teardrop play a pivotal role in Paget disease of the pelvis, making its disappearance a notable diagnostic indicator. Experimental methods involving the removal of the bony plate and the application of lead foil to the acetabular fossa underscore the meticulous approach required in the realm of skeletal diagnostics through radiography.
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