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At least 55 records · Page 3Linked to original sources
PubMed1997

Anatomic considerations of the principal nutrient foramen and artery on internal surface of the ilium.

Direct measurements of the nutrient foramen of thirty dried ilia using digital calipers and observations of the nutrient a. from ten cadaveric specimens were made in the present study. The nutrient foramen was situated 12.5 +/- 2.7 mm lateral to the anterosuperior sacroiliac joint line but perpendicular to this line and 23.5 +/- 5.8 mm above the pelvic brim parallel to the sacroiliac joint line. The nutrient a. originated from the iliolumbar a. as it coursed across the anterosuperior aspect of the sacroiliac joint. The present anatomic study indicates that the nutrient a. on the internal surface of the ilium is prone to injury as a result of traumatic disruption of the sacroiliac joint, sacral alar fractures and during the anterior approach to the sacroiliac joint.

Aged↗
PubMed1996

A case of malignant fibrous histiocytoma of the ilium, evaluation by blood-pool scintigraphy.

A rare case of malignant fibrous histiocytoma (MFH) of the ilium was presented and blood-pool scintigraphic images and angiographic images were correlated. Hypervascular tumor and lacking of contrast material with arteriovenous shunts were shown by angiography. Intensive tracer accumulation was shown by blood-pool scintigraphy. After radiation therapy and transcatheter arterial embolization of the tumor, tracer accumulation was noticeable reduced. These findings suggested a vascular tumor such as angiosarcoma, but surgery revealed MFH of the bone. Blood-pool scintigraphy was useful in the evaluation of the vascular characteristics of the tumor.

Aged↗
PubMed2005

Intraosseous haemangioma of the ilium.

Intraosseous haemangioma, an uncommon benign vascular tumour, is most commonly seen in adults and tends to involve the vertebrae and the skull. Lesions of flat bones are rare and the imaging findings in these patients are non-specific. We report a unique case of intraosseous haemangioma in the ilium of a 7-year-old girl studied by US, radiography, scintigraphy, CT and MRI.

Bone Neoplasms↗
PubMed1997

Intraosseous pneumatocyst of the ilium: CT findings in two cases and literature review.

Intraosseous pneumatocyst of the ilium is a rare lesion of uncertain origin. It predilects male subjects and may be associated or not with sacroiliac joint degenerative disease, intra-articular gas, sacral pneumatocyst, and communication with the articular space. To our knowledge, only 16 observations have been reported in the literature. We have evaluated with plain radiographs and CT two additional cases. Plain films frequently identify these lesions, but CT is the method of choice in demonstrating their air density and assessing the possible abnormalities of the surrounding bone and sacroiliac joints.

Adult↗
PubMed1986

Aneurysmal bone cyst of the ilium associated with pregnancy.

A 19-yr-old primigravida presented with a back mass which was found to originate from the right ilium and was associated with oblique fetal lie. Elective caesarean section and excision of the mass were done. Histologically, the lesion proved to be an aneurysmal bone cyst. Review of bone tumors associated with pregnancy is presented, with discussion of the problems related to diagnosis of this condition.

Adolescent↗
PubMed1994

Morbidity from anterior ilium bone harvest. A comparative study of lateral versus medial surgical approach.

The morbidity of bone harvest was compared between anterior lateral and medial surgical approaches in a randomized prospective study. Forty consecutive patients, each requiring a minimum 40 cc of loose corticocancellous bone for maxillofacial reconstruction, were randomly placed into two equal groups. Morbidity vectors assessed included bone volume, blood loss, length of surgery, length of hospital stay, incidence of seroma, incidence of anterior thigh paresthesia, postoperative pain, and gait disturbance. The results demonstrated no significant difference in morbidity between these two approaches; therefore selection of either approach is the surgeon's personal preference. A thorough understanding of the osseous anatomy of the anterior ilium and its muscular attachments, a good surgical technique, an efficient surgical team, and a continuous flow of required surgical instruments are essential to reduce the morbidity of bone harvest.

Adult↗
PubMed1994

A comparative study of osseointegration of titanium implants in corticocancellous block and corticocancellous chip grafts in canine ilium.

PURPOSE: This study was undertaken to compare the relative rates and extent of osseointegration of dental implants when placed simultaneously with either corticocancellous block or particulate corticocancellous bone grafts. MATERIALS AND METHODS: Using the canine ilium as a model site, the implants were placed so that each served as its own control. The implants were harvested at 1, 2, or 3 months for evaluation by light microscopy, microradiography, and histomorphometry. RESULTS: Both types of grafts were determined to be viable by microscopic evaluation of fluorescent labels. Qualitatively there appeared to be greater bone density in the corticocancellous block graft implant sites. At 3 months, the block graft implant sites had a level of osseointegration (59.6%) that approximated the control implant sites (65.2%), but was significantly greater than the particulate graft sites (39.2%). CONCLUSIONS: These results indicate that implants in corticocancellous block grafts develop osseointegration more rapidly than those in particulate bone grafts. The clinical implications of these findings are discussed.

Animals↗
PubMed1986

Comparison of complications after bone removal from lateral and medial plates of the anterior ilium for mandibular augmentation.

6 patients whose mandibles were to be augmented with autogenous bone were divided into 2 groups of 3 patients each. In one group, autogenous donor bone was harvested from the medial plate of the anterior ilium, whereas in the second group bone was harvested from the lateral plate. Although some clinicians have asserted that there is less morbidity when bone is harvested from the medial plate, no difference between the 2 groups was noted in the length of hospitalization, amount of blood loss during surgery, incidence of seroma development, or need for a cane or walker. The decision to remove bone from the lateral or medial plates should be based on surgical access rather than incidence of complications.

Adult↗
PubMed1998

Excision of a haemophilic pseudotumour of the ilium, complicated by fistulation.

We report the case of a patient with a haemophilic pseudotumour of the ilium who developed chronic fistulation, 6 months after en-bloc resection. During the initial resection, the large defect in the iliac wing was filled with bone cement, which may have contributed to fistula formation. A second surgical procedure consisted of excision of the fistula and bone cement and the dead space was obliterated by bringing the gluteus medius muscle into the defect. The fistula recurred, however. Reexcision of the fistula and obliteration of the dead space by a pedicled rectus abdominis muscle flap resulted in eradication of the fistula. We emphasize the importance of obliteration of dead space, resulting from large pseudotumour resection. The use of bone cement is not advocated. If a fistula does occur, a pedicled rectus abdominis muscle flap may be considered.

Adult↗
PubMed2000

Long-term evaluation of a novel surgical approach to the pseudotumour of the ilium in haemophilia: exeresis and transposition of the omentum in the residual cavity.

Pseudotumour of the ilium is a rare but severe complication in haemophiliacs. Excision is often complicated by infections, fistulation and extensive pelvic bone destruction. In 1978, the first author carried out excision of the pseudotumour with transposition of the omentum in the dead cavity to avoid recurrence. This type of surgery has been carried out in three additional patients. The long follow-up of these four patients suggests that this procedure is feasible and curative; local bleeding, infection and fistulation did not recur and the patients remained ambulant with the aid of appropriate devices.

Adult↗
PubMed2000

Surgical harvesting of bone graft from the ilium: point of view.

Autologous bone harvested from the ilium is commonly used as a grafting material in surgical reconstructive and arthrodesis procedures to ensure a satisfactory postoperative outcome. However, operative removal of bone from the iliac crest requires an additional surgical procedure with a distinct set of postoperative complications. We provide a comprehensive literature synthesis of the incidence and severity of complications reported to be associated with this commonly practiced procedure. Most severe complications are rare, but chronic pain at the donor site exceeding three months in duration occurs frequently and can be particularly bothersome to patients. Alternative grafting materials that are safe and effective are sorely needed.

Bone Transplantation↗
PubMed1988

[A new surgical method in malignant tumors of the ilium].

During the growth period the triradiate cartilage forms a barrier to the intraosseous tumor growth. It is then surgically possible to remove the ilium at the triradiate cartilage and leave more than 2/3 of the acetabulum. After transposition of the remaining acetabulum to the lateral side of the sacrum the hip joint can be preserved with a very good functional result.

Acetabulum↗
PubMed1979

Use of a craniotome for obtaining cancellous bone and marrow from the ilium.

The ilium is a rich source of cancellous bone and marrow for grafting. Grafts can be harvested very rapidly with a standard craniotome. The clutch mechanism prevents inadvertent soft tissue injury if both cortical plates are perforated. The surgical approach is similar to that used in other techniques. No complications have been encountered.

Bone Marrow Transplantation↗
PubMed1990

Tc-99m DTPA uptake in Paget's disease of the left ilium.

Skeletal visualization during dynamic renal imaging is an uncommon finding that has previously been related to underlying neoplastic disease. The authors report a case of active Paget's disease of the left ilium resulting in uptake of Tc-99m DTPA in the arterial flow and early blood pool images. This report emphasizes that it is the increased blood flow, rather than the bone pathology per se, that determines uptake of Tc-99m DTPA in Paget's disease.

Bone Neoplasms↗
PubMed1999

Alveolar soft part sarcoma involving the ilium. A case report.

A report of alveolar soft part sarcoma of the hip region with extension to the ilium is presented to highlight an unusual presentation for this sarcoma and to discuss the treatment options for limb salvage for large malignant neoplasma involving the periacetabular region of the pelvis. A review of the literature for reports of alveolar soft part sarcoma extending to bone is presented.

Adult↗
PubMed1991

Bone biopsy in the horse. 1. Method using the wing of ilium.

Two hundred and five bone biopsies from the wing of ilium were taken from 52 growing and 70 older horses. The method was initially evaluated in 4 horses at post mortem and then performed in 26 horses under general anaesthesia. The technique was later developed for biopsying horses in the standing position under local anaesthesia (n = 70 adults; n = 22 foals). The core of the bone biopsy consisted of a central cancellous portion between two cortices. This type of sample allowed a complete histomorphometrical analysis. An integral part of the procedure was intravital bone labelling using fluorochromes with a known interval between labels. Potential hazards associated with the use of oxytetracycline labels included the onset of diarrhoea and laminitis in some foals. The method was simple, safe and efficient for both anaesthetised and standing horses. The only difficulties encountered were minor and were associated with blunting of the drill bit, scoring of the internal surface of the drill bit guide and occasional loss of the distal part of the biopsy core. Post operative complications included haematoma formation and skin infections. It was concluded that this technique offered a quick and effective method of collecting bone biopsies in horses, which facilitated the quantitative assessment of skeletal changes.

Animals↗