Abstract
Five cases of hematogenous osteomyelitis of the ischiopubic synchondrosis (IPS) were encountered among 180 patients with osteomyelitis treated over a 5-year period. Symptoms were poorly localized in all these IPS osteomyelitis patients. The IPS can normally show expansion and irregular mineralization radiographically and focal hyperconcentration of radiophosphates on scintigrams. Findings are frequently asymmetrical negating comparison with the contralateral side. In the cases of osteomyelitis, radiographs were abnormal at the time of presentation in only one of these five cases. In two of the four patients who had radionuclide bone scans, activity at the IPS exceeded that seen in a normal control population, but all showed loss of definition of the IPS and regional increased uptake permitting an early diagnosis.
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References
Trueta J (1959) Three types of acute hematogenous osteomyelitis: a clinical and vascular study. J Bone Joint Surg [Br] 41: 671
Nixon GW (1978) Hematogenous osteomyelitis of metaphyseal-equivalent locations. Am J Roentgenol 130: 123
Edwards M, Baker C, Granberry W, Barrette F (1978) Pelvic osteomyelitis in children. Pediatrics 61: 62
Heldrich F, Harris V (1979) Osteomyelitis of the pubis. Acta Paediatr Scand 68: 39
Highland TR, Lamont RL (1983) Osteomyelitis of the pelvis in children. J Bone Joint Surg 65-A: 230
Morrey BF, Bianco AJ, Rhodes KH (1978) Hematogeneous osteomyelitis at uncommon sites in children. Mayo Clin Proc 53: 707
Farley T, Conway J, Shulman ST (1985) Hematogeneous pelvic osteomyelitis in children — clinical correlates of newer scanning methods. Am J Dis Child 139: 946
Caffey J, Ross SE (1956) The ischiopubic synchondrosis in healthy children: some normal roentgenologic findings. AJR 76: 488
Cawley KA, Dvorkak AD, Wilmot MD (1982) Normal anatomic variant: scintigraphy of the ischiopubic synchondrosis. J Nucl Med 24: 14
Jarvis J, McIntyre W, Udjus K, Kloiber R (1985) Osteomyelitis of the ischiopubic synchondrosis. J Pediatr Orthop 5: 163
Kloiber R, Pavlosky W, Portner O, Gartke K (1983) Bone scintigraphy of hip joint effusions in children. AJR 140: 995
Howie DW, Savage JP, Wilson TG, Paterson D (1983) The technetium phosphate bone scan in the diagnosis of osteomyelitis in childhood. J Bone Joint Surg 65-A: 431
Murray IP (1980) Bone scanning in the child and young adult. Skeletal Radiol 5: 65
Gilday DL, Paul DJ, Paterson J (1975) Diagnosis of osteomyelitis in children by combined blood pool and bone imaging. Radiology 117: 331
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Kloiber, R., Udjus, K., McIntyre, W. et al. The scintigraphic and radiographic appearance of the ischiopubic synchondroses in normal children and in osteomyelitis. Pediatr Radiol 18, 57–61 (1988). https://doi.org/10.1007/BF02395762
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DOI: https://doi.org/10.1007/BF02395762