Delayed Bone Infarct in the Ilium Following a Pelvic Crush Injury and Embolization: A Case Report
| Autor: | Andy Miller, Zach Broyer, Paul W. Millhouse, Alexander R. Vaccaro, Theodore D. Conliffe, Jonathan T. Paul |
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| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Time Factors Bone Infarction Pelvis Ilium 03 medical and health sciences Crush Injuries Fracture Fixation Internal 0302 clinical medicine Postoperative Complications Fracture fixation medicine Humans Orthopedics and Sports Medicine 030203 arthritis & rheumatology Sacroiliac joint 030222 orthopedics business.industry Pelvic pain Sacroiliitis Middle Aged musculoskeletal system medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Infarction Crush injury Radiology medicine.symptom business Posterior superior iliac spine |
| Zdroj: | JBJS case connector. 7(4) |
| ISSN: | 2160-3251 |
| Popis: | Case We present a case of delayed osteonecrosis of the ilium. After receiving embolization and multiple orthopaedic procedures following a complex pelvic crush injury, the patient subsequently developed posterior pelvic pain and tenderness over the posterior superior iliac spine, along with pain on sacroiliac joint compression. Magnetic resonance imaging of the pelvis demonstrated a bone infarction in the left ilium adjacent to the sacroiliac joint. Conclusion The symptoms from osteonecrosis of the ilium may simulate sacroiliitis or other conditions. It is important to keep the differential diagnosis in mind when considering additional management for posterior pelvic pain in the setting of prior trauma and preexisting hardware. |
| Databáze: | OpenAIRE |
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