Delayed Bone Infarct in the Ilium Following a Pelvic Crush Injury and Embolization

Abstract

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.

Early Bone Infarction With Soft-tissue Abscess

“…Caisson disease, glucocorticoid, alcohol abuse, dyslipidemia, trauma, and chemotherapy were considered as risk factors of bone infarction. 6 In addition, bone infarction was usually found in special diseases, such as thalassemia, sickle cell disease, systemic lupus erythematosus, etc. 7 , 8 Studies had shown that the pathogenesis of bone infarction stems from local blood supply disorders in the medullary cavity or bone cortex and acute vascular obstruction (thrombosis, lipid emboli, and fat cell hypertrophy with the compression of intraosseous capillaries) leads to ischemic osteonecrosis and bone infarction.…”