Presentation
3 week history of left sided hip pain. Reduced range of motion.
Patient Data
Age: 7 years
Gender: Female
From the case:
Pelvic osteomyelitis - child
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Attempted frog-leg lateral. Reduced abduction on the left. Thickening and sclerosis of the ilium and ischium.
From the case:
Pelvic osteomyelitis - child
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The MRI confirms the abnormality centered on the ischium with expansion and edema. There is edema in the ilium and pubis, but there is less expansion.
Thin subperiosteal collection on the internal surface of the left pubis adjacent to the triradiate cartilage.
Marked surrounding edema, particularly of obturator internus. No collection.
Moderate left hip joint effusion.
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Sclerosis and widening of the left ischium and, to a lesser extend, left ilium.
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Consolidation of the left ischium and pubis.
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