Osteitis condensans ilii oci is a rare condition causing low back pain. In osteology, these are primarily considered to be caused by births and pregnancies. It is a rare condition of benign cause of axial low back pain. Boston osteitis condensans ilii is a term appliedto the alteration of the bony architecture of the iliac bone adjacent to the sacroiliac joint. Plain films showed diffuse sclerosis of the right ilium and adjacent sacroiliac joint. When related to pregnancy, it is hypothesized that ligamentous laxity at the sacroiliac. Osteitis condensans ilii oci is an uncommon incidental finding on plain xray, characterized by sclerosis of predominantly the iliac bone adjacent to an otherwise normal sacroiliac joint. This condition may be seen in older women, and even in men although rarely. More specifically, it can refer to one of the following conditions.
Osteitis condensans ilii symptoms, causes, diagnosis, and treatment information for osteitis condensans ilii barsonypolgar syndrome 1 with alternative diagnoses, fulltext book chapters, misdiagnosis, research treatments, prevention, and prognosis. In 32 of the patients with condensans ilii, thejoint spaces appeared to be normal, and the articular surfaces were unchanged. First described in 1926, oci is seen almost exclusively in women. Pain is exacerbated by activity and relieved by rest. Nov 11, 2012 although its exact cause is unknown, osteitis condensans ilii is believed to result from mechanical stress across the sacroiliac joint.
The entity of osteitis condensans ilii is first mentioned in the english literature in 1936 1. Osteitis condensans ilii medigoo health tests and free. Osteitis condensans ilii and sij tenderness international journal of rheumatic diseases 2009. The condition is characterized by condensation of the involved bone without involvement of the joint space or adjacent sacrum. It is usually asymptomatic but uncommonly may cause lower back pain, with a frequency of about 12. Prognosis in osteitis condensans ilii, radiology 10.
Marco santoro 1, salvatore alaimo 2 1 dipartimento di scienze cliniche e bioimmagini, sezione di scienze radiologiche, universita degli studi g. Excerpt the entity of osteitis condensans ilii is first mentioned in the english literature in 1936 1. Osteitis condensans ilii, including its resolution radiology. This is a single axial image from a ct scan of the pelvis demonstrating sclerosis blue arrows on only the iliac side of the sacroiliac joints. Osteitis condensans ilii, low back pain, triangular sclerosis. The xray and ct findings are subchondral erosive change, joint. Limited information in the literature combined with poor awareness across the specialty and among the primary care physicians leads to an extensive investigation and. The traditional location of involvement is around the ileum, and can be misinterpreted as sacroiliac joint sij involvement. Osteitis condensans ilii results in recurrent axial lowback pain. The location of the sclerosis has been traditionally confined to the ilium and may give the false impression of sacroiliac joint involvement.
Osteitis condensans ilii oci is a benign pathology causing chronic back and hip pain. The condition is thought to be related to pregnancy, althout it can be seen in men and nulliparous women. Back pain is one of the most frequent complaints during the last period of pregnancy. Osteitis condensans ilii oci is regarded to as a noninflammatory disorder induced by mechanical stress and mechanical instability of the sacroiliac joints sij. The presentation is typical with varying degrees of pelvic andor perineal pain, reproduced on hip adduction. The most accepted hypothesis is the extra mechanical. Osteitis pubis in athletes is also known as pubic symphysitis and traumatic osteitis pubis, and sometimes comes under the broader discussion of footballers groin. Although no clear etiology has been identified, the prevailing theory is that mechanical strain affects the auricular portion of the ilium and causes premature arthritis. Osteitis condensans ilii in differential diagnosis of.
Osteitis condensans ilii oci is a benign cause of axial low back pain. Mar 15, 2019 based on the imaging findings, we diagnosed her with osteitis condensans ilii. Osteitis condensans ilii oci is an uncommon incidental finding on plain x. The reason remains unknown since it is first described in 1926. The pelvis is a set of bones that connect the legs to. We prescribed her rest and nonsteroidal antiinflammatory drugs.
Thank you for submitting a comment on this article. Ct scans through the synovial part of the sacroiliac joints of 7 consecutive patients meeting the essg criteria and showing typical findings of osteitis condensans ilii on plain films were mixed. Osteitis condensans should be carefully looked for in all roentgenograms of the pelvis and, when found, the cases should be completely investigated so that, as new facts and findings are gradually uncovered, much that is now uncertain and vague will become clear. It mostly affects women and is found incidentally on plain xray by observing iliac bone sclerosis and a normal sacroiliac joint. Miller, md spaulding rehabilitation hospitalharvard medical school, charlestown, ma, united states, vaishali mittal, minna kohler, md disclosures. Interval changes on serial roentgenograms and any possible. Interval changes on serial roentgenograms and any possible associated clinical findings were carefully noted. Osteitis condensans iiii rheumatology oxford academic. Although the etiology is sometimes unknown, the most common causes are. Osteitis condensans ilii oci is regarded as a noninflammatory disorder, which is considered to be induced by mechanical stress e.
Similarities and differences between osteitis condensans. An extended sclerosis of the sacroiliac joints without erosions or ankyloses is the most characteristic imaging feature. Osteitis condensans ilii is a benign disease wherein the lower segment of the ilium undergoes localized bone hardening at its attachment to the sacroiliac joint. Osteitis condensans ilii vs sacroillitis clinical maze. Osteitis condensans ilii radiology reference article. Osteitis pubis is a condition in which theres inflammation where the right and left pubic bones meet at the lower front part of the pelvis.
More recently, paraarticular bone marrow oedema has been described on mri, which can occur early. It is generally seen in women related with pregnancy. Osteitis condensans ilii intense tracer arthritis research. Occasionally there may be a stress fracture of the pubis bone. An uncommon cause of back pain in pregnancy postgraduate. It or pubic symphysitis is believed to be a self limiting disease of the symphysis pubis, marked by erosion of either one or both of the joint margins, followed by a. Osteitis condensans pubis doctors answer your questions. More recently, paraarticular bone marrow edema has been described on magnetic.
Osteitis condensans ilii vs sacroillitis a relatively quick blog for me following a young female patient i saw recently that i sent for xray with suspected inflammatory arthritis presenting with signs and symptoms of sacroillititis. By continuing to use our website, you are agreeing to our use of cookies. Mri demonstrates osteitis condensans ilii this case was donated to radiopaedia. Aug 27, 2009 osteitis condensans ilii oci is a benign cause of axial low back pain. Osteitis condensans ilii refers to an increase in bone density sclerosis located on the inferomedial aspect of the ilium adjacent to the sacroiliac joint.
All were female and reported prior pregnancy supporting an association between osteitis condensans ilii and pregnancy. The diagnosis is normally based on wide spread sclerosis of the sacroiliac joint without erosions or ankyloses on imaging. The investigation also showed that individuals with osteitis in the pelvis were more often affected by osteoarthritis than those individuals who had no inflammation. Osteitis condensans ilii is a term applied to the alteration of the bony architecture of the iliac bone adjacent to the sacroiliac joint. Although the definitive cause is uncertain, mechanical stress is a significant factor in the development of. Low back pain radiating to buttocks is a common feature. Nineteen cases of osteitis condensans ilii seen at duke university medical center, in the years 1940 to 1958, were obtained from the xray museum file. As far as we know, hdrsony and polgcir 1928 were the first to descriebe the peculiar affection of the ilium, characterized by increased condensation, and they suggested the term osteitis condensans ilii to denote the condition. It most commonly presents in multiparous females as a domeshaped. Oci is being increasingly recognized as an important differential diagnosis for axial spondyloarthritis axspa, due to onset at young age, possible inflammatory character of back pain and recently described. Well defined triangular sclerotic area on the iliac part of the sacroiliac articulation can be seen on xrays. Osteitis condensans ilii oci is another common sacroiliitis mimic affecting 0. Osteitis pubis is often due to sport injuries, like trauma caused in playing football.
A series of 48 patients with osteitis condensans ilii and with roentgenograms spanning up to twenty years were observed for the degree of bone involvement and any other significant skeletal abnormalities. Limited information in the literature combined with poor awareness across the specialty and among the primary care physicians leads to an extensive. More recently, paraarticular bone marrow oedema has been described on mri, which can. Osteomyelitis, or infectious osteitis, mainly bacterial osteitis. Osteitis pubis op is characterized by noninfectious inflammation of the pubic symphysis. Based on the imaging findings, we diagnosed her with osteitis condensans ilii. The widest portion of the sclerosis is found in the inferior aspect of the ilium fig. Osteitis condensans ilii is a benign disease wherein the lower segment of the ilium undergoes localized bone. Back pain is a major cause of disability worldwide. Background osteitis condensans ilii oci is regarded as a noninflammatory disorder, which is considered to be induced by mechanical stress e.
Osteitis condensans ilii oci is a benign cause of low back pain, which is selflimiting. Though oci is still an orthopedic mystery, mechanical stress across the joint is a significant triggering factor according to the prevailing theories. Although the definitive cause is uncertain, mechanical stress is a significant factor in the development of the disease. Osteitis condensans ilii is a benign condition more common in obese multiparous females. Poster 307 osteitis condensans ilii and acetabular labral tear after pregnancy. Magnetic resonance imaging of osteitis condensans ilii, rheumatology, volume 33, issue 6, 1 june 1994, we use cookies to enhance your experience on our website.
While indicating that in the early stages ofspondylitis it might be difficult to differentiate the changes from those of osteitis condensans, knutsson felt that such a differentiation could. X ray shows bilateral symmetric sclerosis on iliac sides of sacroiliac joints. Fri0191 similarities and differences between osteitis. It has been impossible however, to settle upon a definite etiology or constant clinical picture. Oki is a rare benign pathology, low back or buttock pain should be suspected in patients coming from. Magnetic resonance imaging of sacroiliac joints in. Jan 28, 2019 osteitis pubis is a condition in which theres inflammation where the right and left pubic bones meet at the lower front part of the pelvis. There may be some sclerosis on the sacral side but always to a lesser extent. Current literature views the phenomenon as a stressrelated sclerotic reaction in the periarticular. Osteitis condensans ilii is a nonspecific, selflimited inflammatory disease of the iliac bone in women more typically of childbearing age. With a predilection for multiparous females, the etiology of oci has been postulated to be related to the physiologic changes of pregnancy, either the result of vascular compression with resultant. Read more about symptoms, diagnosis, treatment, complications, causes and. In recent years, these changes has mainly received attention in the. I have no relevant financial relationships to disclose.
In a small group of patients the persistent pain during the postpartum period may be secondary to osteitis condensans ilii oci, and rarely can occur suddenly in the elderly. This was thought to be the characteristic change of osteitis condensans ilii oci. Stress testing of the sacroiliac joints was associated with greater tenderness in the osteitis condensans ilii group. Current literature views the phenomenon as a stressrelated sclerotic reaction in the periarticular bone. Alveolar osteitis or dry socket condensing osteitis or osteitis condensans osteitis deformans or pagets disease of bone. Osteitis condensans ilii is a benign sclerosis of the ilium that is commonly seen in young women and has an estimated prevalence of between 1. These did not represent all of the cases seen during the period but only those cases placed in the teaching collection because of their roentgen appearance. In the ilia very niarlietl condensation of rather sharp outlines. Magnetic resonance imaging of osteitis condensans ilii. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Poster 307 osteitis condensans ilii and acetabular labral. Bilateral involvement of the sacroiliac joint is typical. Department of radiology duke university medical center, durham, n. Computed tomography revealed sclerosis around the sacroiliac joint with sparing of the joint space and no evidence of erosions.
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