Abstract
Osteomyelitis of the ischiopubic synchondrosis in children is not rare and presents a diagnostic problem because of the diversity of presentation and the deceptive nature of symptoms. Radiological assessment is extremely difficult because of the variation in normal ossification on radiography and normal physiological uptake on radioisotope bone scan. We present two cases of osteomyelitis of the ischiopubic synchondrosis and describe findings on radiographs, isotope bone scan, computed tomography (CT) and magnetic resonance imaging (MRI). MRI changes have not been described in any of the case reports in the English literature. Aspiration and biopsy remain the gold standard for diagnosis. However, MRI appearances can significantly increase diagnostic confidence prior to intervention.
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Edward SM, Baker CJ, Granberry WM, Barrett FF. Pelvic osteomyelitis in children. Paediatrics 1978; 61:62–67.
Kloiber R, Udjus K, McIntyre W, Jarvis J. The scintigraphic and and radiographic appearance of the ischiopubic synchondroses in normal children and in osteomyelitis. Paediatr Radiol 1988; 18:57–61.
Nixon G W. Hematogenous osteomyelitis of metaphyseal-equivalent locations. AJR Am J Roentgenol 1978; 130:123–129.
Kozlowski M, Hochberger O, Povysil B. Swollen ischiopubic synchondrosis: a dilemma for the radiologist. Australas Radiol 1995; 39:224–227.
Resnick D. Osteochondroses. In: Diagnosis of bone and joint disorders, 4th edn. Philadelphia: WB Saunders, 2002:3686–3742.
Brosmann J, Sartoris DJ, Resnick DL. Osseous and soft tissue infection of extraspinal sites. In: Stark DD, William G, Bradly WG, eds. Magnetic resonance imaging, 3rd edn. St Louis : Mosby, 1999:1037–1056.
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Iqbal, A., McKenna, D., Hayes, R. et al. Osteomyelitis of the ischiopubic synchondrosis: imaging findings. Skeletal Radiol 33, 176–180 (2004). https://doi.org/10.1007/s00256-003-0673-6
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DOI: https://doi.org/10.1007/s00256-003-0673-6