• Title/Summary/Keyword: Ilium

Search Result 81, Processing Time 0.022 seconds

Parosteal Lipoma Associated with a Growing Osteochondroma of the Right Ilium (우측 장골능선의 골연골종과 연관된 방골성 지방종의 증례 보고)

  • Min Jae Myung;Ji Seon Park;Kyung Nam Ryu;Yong-Koo Park;Myung-Won You;Jong Hun Baek
    • Journal of the Korean Society of Radiology
    • /
    • v.82 no.2
    • /
    • pp.462-468
    • /
    • 2021
  • Parosteal lipoma is a rare type of lipoma, the incidence being approximately 0.3% of all lipomas. Moreover, parosteal lipoma coexisting with osteochondroma is extremely rare. A few cases with coexistence of osteochondroma and parosteal lipoma have been reported and they were thought to be reactive changes of adjacent bone by parosteal lipoma. However, temporal relationship of these tumors could not be explained. Here, we report a case of parosteal lipoma associated with osteochondroma of the right ilium developed over 6 years, with follow-up radiographs.

Recycling Bone Autotransplantation with Extracorporeal Heat-Treatment for Malignant Bone Tumors of Pelvis (골반골의 악성 골종양의 재건술에서 체외 열처리를 이용한 재활용 자가골 이식술 및 인공 관절 치환술을 시행한 3례 보고)

  • Kim, Sae-Hoon;Lee, Sang-Hoon;Cho, Hwan-Sung;Kim, Han-Soo
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.9 no.1
    • /
    • pp.115-123
    • /
    • 2003
  • Study Design: A retrospective clinical and radiographic review. Objectives: The purpose of this study was to suggest recycling bone autotransplantation with extracorporeal heat-treatment as one of favorable reconstruction method for malignant bone tumors of pelvis through 3 cases. Summary of Literature Review: There are many biologic and nonbiologic reconstruction method in pelvic reconstruction. Cases: Case 1- A 20-year-old women had chief complaint of right hip and thigh pain started 3 months ago and done curettage and bone cementing at right ilium at other hospital. She had impression of malignant bone tumor and undergone postoperative radiation therapy for 6 cycles. After that she was referred to our hospital and undergone wide excision of right ilium and recycling bone autotransplantation with extracorporeal heat-treatment at 132 degree celsius for 2 minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (ABG$^{(R)}$). There was no evidence of distant metastasis and revealed well-differentiated osteosarcoma on postoperative pathology. Neither adjuvant nor neoadjuvant chemotherapy were done. Case 2- A 56-year-old women who suffered right thigh pain for 3 months was detected radiologic abnormality at right pelvis. After incisional biopsy, osteosarcoma was diagnosed. We had undergone wide excision of right ilium and recycling bone autotransplantation with extracorporeal low heat-treatment at 65 degree celsius for 30minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (ABG$^{(R)}$). There was no evidence of distant metastasis and revealed high-grade osteosacoma which was fibroblastic type on postoperative pathology. Adjuvant chemotherapy (HDMTX, ADR, CDDP) was done immediate after wound healing was completed. Case 3- A 46-year-old women was incidently found mass at left ilium which was suspected chondrosarcoma. We had undergone wide excision of left ilium and recycling bone autotransplantation with extracorporeal low heat-treatment at 65 degree celsius for 30minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (Protek$^{(R)}$). There was no evidence of distant metastasis and revealed chondrosarcoma which was graded II/III on postoperative pathology. Results: Oncologic and functional outcome at final follow-up were for case 1, final follow-up time was 7 years, is no evidence of disease and functional score is 53% according to Ennecking et al. During follow-up, evidence of radiologic union was at about 1 and 6 months after operation. The case had breakage of pelvic reconstruction plate and some resorption of autotransplated bone, but no symptom present. For case 2, final follow-up was 3 years and 6 months, is no evidence of disease and functional score is 60%. For case 3, final follow-up was 7 months, no evidence of disease and functional score is 63% which is improving state. Discussion: 3 cases which were undergone recycling bone autotransplantation with extracorporeal heat-treatment and total hip replacement arthroplasty had relatively successful oncologic and functional outcome. Taking account that difficulty in using allograft in Korea this method is thoght to be one of the useful way to reconstruct pelvis after resection of primary malignant bone tumor of the pelvis.

  • PDF

Surgical treatment of Giant Cell Tumor in Knee Joint (슬관절 주위 거대세포종의 치료)

  • Bae, Dae-Kyung
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.1 no.1
    • /
    • pp.1-6
    • /
    • 1995
  • Giant cell tumors are primary bone tumors originating from non-osteoblastic connective tissue. The sites of involvement were commonly distal femur, proximal tibia, proximal humerus, distal radius and others (including os calcis, ilium and sacrum). Giant cell tumor located around knee joint has been difficult to treat because of local recurrence following curettage with or without bone graft. Although primary resections reduce recurrence of the lesion, the joint function will be markedly impaired. Marginal excision was very often complicated by a loss of joint integrity since all the giant cell tumors occupy juxtaarticular positions. Techniques involving physical adjuncts(high speed burr and electric cauterization) have been used in the hope of decreasing the rate of local recurrence and avoiding the morbidity of primary resection. A meticulous clinical, radiological and histological evaluation is needed to choose the correct treatment, keeping in mind the possibility of recurrence after each treatment modality.

  • PDF

The Body Deformity through movement pattern of Shoulder Pain Patients (어깨 통증 환자의 운동증감패턴에 따른 신체변형 연구 -견갑골과 장골의 경사 모형을 중심으로-)

  • Chae, Jung-Byung
    • Journal of Korean Physical Therapy Science
    • /
    • v.7 no.2
    • /
    • pp.641-651
    • /
    • 2000
  • The purpose of study is aimed at analysing the body deformity types through movement pattern of shoulder pain patients without considering of upper extremity radiating pain. This study was proceeded in a time-series method through the fifty shoulder pain patients visited the hospital for the first time. The results were as follows. 1. Body type I: Deformity style of Lt shoulder & pelvis forward tilt was 8 patirnts (16%) 2. Body type II: Deformity style of Rt shoulder & pelvis forward tilt style was 22 patirnts (44%) 3. Body type III: Deformity style of Lt shoulder & Rt pelvis forward tilt style was 9 patirnts (18%) 4. Body type IV: Deformity style of Rt shoulder & Lt pelvis forward tilt style was118 patirnts (22%).

  • PDF

Joint Range of Motion Increase & Decrease Types (체형에 따른 관절운동증진 및 제한형태에 관한 연구)

  • Moon, Sang-Eun
    • Journal of Korean Physical Therapy Science
    • /
    • v.4 no.2
    • /
    • pp.373-382
    • /
    • 1997
  • This study has been aimed at figuring out the fact that four kinds of body type grouped according to the tilting of scapular of upper extremity and ilium of low extremity showed the mobility increase for joint parts and the limitation. When we make a thrapy plan which should be comprehensive and general in preventative management and therapy. For the sake of patients who have spinal disabilities including low back pains, it is required for many joints distributing among upper and lower extremity to have hypermobility and hypomobility based on regulation. So, this study was conducted to establish a standard for the effective pattern of hypermobility or hypomobility. I hope that the result of this study can help support the practics of physical therapy as a part of scientic method. Especially I think it will be able to be conductive to those who major in physical therapy on the arthrogenic region.

  • PDF

A Case of Bertolloti Syndrome -A case report- (Bertolotti 증후군 치험 1예 -증례 보고-)

  • Shim, Jae-Chol;Kim, Dong-Won
    • The Korean Journal of Pain
    • /
    • v.12 no.1
    • /
    • pp.136-139
    • /
    • 1999
  • Bertolloti syndrome is the association between low back pain (LBP) and the presence of a lumbosacral transitional vertebrae. A transitional vertebrae is composed of one or both transverse process connecting with the sacrum or ilium and the presence of a vestigial intervertebral disc space caudal to the transitional vertebrae. We experienced a case of low back pain with intermittent radiating pain in patient with complete lumbosacral sacralization. Long term relief of low back pain was maintained with intra and/or periarticular infiltration of local anesthetics and steroid. The relief of LBP suggests a correlation between LBP and lumbosacral sacralization.

  • PDF

Multiple intraosseous cervical pneumatocysts: A case report of a rare incidental finding on cone-beam computed tomography

  • Jadhav, Aniket B.;Sarah, Sangeetha Gajendran;Cederberg, Robert;Wagh, Aditya;Kiat-amnuay, Sudarat
    • Imaging Science in Dentistry
    • /
    • v.48 no.3
    • /
    • pp.223-226
    • /
    • 2018
  • This report presents a case of cervical pneumatocysts as an incidental finding on cone-beam computed tomography. Pneumatocysts are gas-containing lesions of unknown etiology. They usually present in the ilium or sacrum, adjacent to the sacroiliac joint. In the literature, 21 case reports have described cervical pneumatocysts. Cervical pneumatocysts should be differentiated from other lesions, such as osteomyelitis, osteonecrosis, and neoplasms, as well as post-traumatic and post-surgical cases. Computed tomography, cone-beam computed tomography, and magnetic resonance imaging are appropriate tools to diagnose cervical pneumatocysts.

Cystic Echinococcosis of the Pelvic Bone with Recurrences: A Case Report

  • Jain, Sunila;Chopra, Prem
    • Parasites, Hosts and Diseases
    • /
    • v.49 no.3
    • /
    • pp.277-279
    • /
    • 2011
  • Hydatid cysts commonly affect the liver and the lung. However, they rarely involve bones with vertebral column. We hereby report a case of a female patient with cystic echinococcosis of the hip bone and ilium. She presented with a long history of frequent recurrences highlighting the dismal prognosis at this rare site. Resection of the hydatid cyst from the sacroiliac region was done with allograft and autograft (rib graft) with lumbosacroiliac fixation. Follow-up of the patient at 6 months showed no detectable abnormality on radiology and the patient was doing well.

The mechanism of sphingosine-1-phosphate induced contraction in cat esophageal smooth muscle cells.

  • Choi, Tae-Sik;Lee, Tai-Sang;Woo, Jae-Gwang;Kim, Yong-Sung;Sohn, Uy-Dong
    • Proceedings of the PSK Conference
    • /
    • 2003.10b
    • /
    • pp.77.3-78
    • /
    • 2003
  • We previously shown that sphingosylphosphorylcholine, a lysophosphatidic acid, produced contraction in isolated single cells of cat ilium. We investigated the mechanism of sphingosine-1-phosphate (S1P)-induced contraction of circular smooth muscle cells in cat esophagus. S1P produced esophageal contraction in a dose dependent manner. The maximal contraction (l0$\^$-7/ M) induced at 1min. Pertusis toxin (PTX) inhibited contraction induced by S1P, suggesting that the contraction is mediated to a PTX-sensitive G-protein. (omitted)

  • PDF

Bertolotti's Syndrome Misdiagnosed as Juvenile Idiopathic Arthritis in an Adolescent Girl with Low Back Pain (소아 특발성 관절염과 관련된 요통으로 오인된 베르톨로티 증후군)

  • Han, Seung Hee;Kim, JoongGon;KIM, JongKyu
    • Clinical Pain
    • /
    • v.20 no.1
    • /
    • pp.35-38
    • /
    • 2021
  • Bertolotti's syndrome is a congenital abnormality in which the expanded lower lumbar transverse process articulates with the ilium or sacrum. It is an important cause of low back pain in children and adolescents that is frequently misdiagnosed. We describe the case of a 17-year-old girl with low back pain who had a 4-year history of juvenile idiopathic arthritis. She subsequently underwent plain radiography and magnetic resonance imaging and was eventually diagnosed with Bertolotti's syndrome. She was managed conservatively with 6 weeks of physical therapy and an exercise program, and her pain subsided. This case demonstrates the importance of considering anatomical and structural variants when evaluating low back pain in adolescents.