{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:37:50Z","timestamp":1787755070773,"version":"build-2784847793"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a case of delayed osteonecrosis of the ilium. After receiving embolization and multiple orthopaedic procedures following a complex pelvic crush injury, the patient subsequently developed posterior pelvic pain and tenderness over the posterior superior iliac spine, along with pain on sacroiliac joint compression. Magnetic resonance imaging of the pelvis demonstrated a bone infarction in the left ilium adjacent to the sacroiliac joint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The symptoms from osteonecrosis of the ilium may simulate sacroiliitis or other conditions. It is important to keep the differential diagnosis in mind when considering additional management for posterior pelvic pain in the setting of prior trauma and preexisting hardware.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.16.00151","type":"journal-article","created":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T14:37:29Z","timestamp":1511275049000},"page":"e89-e89","source":"Crossref","is-referenced-by-count":1,"title":["Delayed Bone Infarct in the Ilium Following a Pelvic Crush Injury and Embolization"],"prefix":"10.2106","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8007-9876","authenticated-orcid":false,"given":"Paul W.","family":"Millhouse","sequence":"first","affiliation":[{"name":"Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Miller","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Paul","sequence":"additional","affiliation":[{"name":"Rothman Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore D.","family":"Conliffe","sequence":"additional","affiliation":[{"name":"Rothman Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander R.","family":"Vaccaro","sequence":"additional","affiliation":[{"name":"Rothman Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zach","family":"Broyer","sequence":"additional","affiliation":[{"name":"Rothman Institute, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,11,22]]},"reference":[{"issue":"3","key":"bib1-20231108","doi-asserted-by":"crossref","first-page":"459","DOI":"10.2106\/00004623-199503000-00018","article-title":"Non-traumatic avascular necrosis of the femoral head","volume":"77","author":"Mont","year":"1995","journal-title":"J Bone Joint Surg Am."},{"issue":"2","key":"bib2-20231108","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1093\/rheumatology\/kes241","article-title":"There are many potential medical therapies for atraumatic osteonecrosis","volume":"52","author":"Fessel","year":"2013","journal-title":"Rheumatology (Oxford)."},{"issue":"6","key":"bib3-20231108","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/MD.0000000000000007","article-title":"High prevalence of prothrombotic abnormalities in multifocal osteonecrosis: description of a series and review of the literature","volume":"92","author":"G\u00f3mez-Puerta","year":"2013","journal-title":"Medicine (Baltimore)."},{"issue":"7","key":"bib4-20231108","doi-asserted-by":"crossref","first-page":"455","DOI":"10.5435\/JAAOS-22-07-455","article-title":"Osteonecrosis of the femoral head: evaluation and treatment","volume":"22","author":"Zalavras","year":"2014","journal-title":"J Am Acad Orthop Surg."},{"key":"bib5-20231108","first-page":"51","article-title":"Epidemiology of traumatic and nontraumatic osteonecrosis","volume":"130","author":"Jacobs","year":"1978","journal-title":"Clin Orthop Relat Res."},{"issue":"5","key":"bib7-20231108","first-page":"S226","article-title":"Crush injury and crush syndrome: a review","volume":"54","author":"Smith","year":"2003","journal-title":"J Trauma."},{"issue":"2","key":"bib8-20231108","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1097\/00005373-196902000-00004","article-title":"Injuries of the iliac and femoral arteries associated with blunt skeletal trauma","volume":"9","author":"Thomford","year":"1969","journal-title":"J Trauma."},{"issue":"2","key":"bib9-20231108","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s00402-005-0081-6","article-title":"Multifocal arterial haemorrhage in a partially stable pelvic fracture after a crush injury: a case report","volume":"126","author":"T\u00f6tterman","year":"2006","journal-title":"Arch Orthop Trauma Surg."},{"issue":"1","key":"bib10-20231108","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/S0020-1383(00)00098-X","article-title":"Gluteal muscle necrosis following transcatheter angiographic embolisation for retroperitoneal haemorrhage associated with pelvic fracture","volume":"32","author":"Takahira","year":"2001","journal-title":"Injury."},{"issue":"7","key":"bib11-20231108","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1056\/NEJM197208172870701","article-title":"Arteriography in the management of hemorrhage from pelvic fractures","volume":"287","author":"Margolies","year":"1972","journal-title":"N Engl J Med."},{"issue":"5","key":"bib12-20231108","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.2214\/ajr.157.5.1927786","article-title":"Hemorrhage associated with pelvic fractures: causes, diagnosis, and emergent management","volume":"157","author":"Ben-Menachem","year":"1991","journal-title":"AJR Am J Roentgenol."},{"issue":"2","key":"bib13-20231108","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1148\/radiology.140.2.7196055","article-title":"Transcatheter embolization of pelvic vessels for control of intractable hemorrhage","volume":"140","author":"Lang","year":"1981","journal-title":"Radiology."},{"issue":"6","key":"bib14-20231108","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1016\/0090-4295(77)90319-3","article-title":"Gangrene of bladder. Complication of hypogastric artery embolization","volume":"9","author":"Braf","year":"1977","journal-title":"Urology."},{"issue":"2","key":"bib15-20231108","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1177\/028418517801900204","article-title":"Urinary bladder necrosis following selective embolization of the internal iliac artery","volume":"19","author":"Hietala","year":"1978","journal-title":"Acta Radiol Diagn (Stockh)."},{"issue":"2","key":"bib16-20231108","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/S0022-5347(17)34969-8","article-title":"Bladder necrosis secondary to pelvic artery embolization: case report and literature review","volume":"151","author":"Sieber","year":"1994","journal-title":"J Urol."},{"issue":"2","key":"bib17-20231108","doi-asserted-by":"crossref","first-page":"166","DOI":"10.4103\/0974-7796.130657","article-title":"Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture","volume":"6","author":"Ali","year":"2014","journal-title":"Urol Ann."},{"issue":"812","key":"bib18-20231108","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1259\/0007-1285-68-812-920","article-title":"Case report: avascular necrosis of the femoral head as a complication of complex embolization for severe pelvic haemorrhage","volume":"68","author":"Obaro","year":"1995","journal-title":"Br J Radiol."},{"issue":"2","key":"bib19-20231108","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1111\/j.1464-410X.1979.tb02845.x","article-title":"Gelatin foam and isobutyl-2-cyanoacrylate in the treatment of life-threatening bladder haemorrhage by selective transcatheter embolisation of the internal iliac arteries","volume":"51","author":"Giuliani","year":"1979","journal-title":"Br J Urol."},{"issue":"3 Pt 1","key":"bib20-20231108","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1148\/133.3.775","article-title":"Microfibrillar collagen hemostat: a new transcatheter embolization agent","volume":"133","author":"Diamond","year":"1979","journal-title":"Radiology."},{"issue":"1","key":"bib21-20231108","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1148\/radiology.146.1.6849068","article-title":"Paresis following internal iliac artery embolization","volume":"146","author":"Hare","year":"1983","journal-title":"Radiology."},{"issue":"5","key":"bib22-20231108","first-page":"275","article-title":"Embolization of the arteria iliaca interna as treatment of life-endangering haemorrhages caused by intrapelvic malignant tumours","volume":"48","author":"Kelemen","year":"1979","journal-title":"Diagn Imaging."},{"issue":"2","key":"bib23-20231108","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1055\/s-2008-1039832","article-title":"[Spontaneous osteonecrosis of the iliac crest. Description of a formerly unverified location]","volume":"132","author":"Fritz","year":"1994","journal-title":"Z Orthop Ihre Grenzgeb."},{"issue":"2","key":"bib24-20231108","first-page":"103","article-title":"[Osteonecrosis of the iliac in the differential diagnosis of malignant lesions of the hip]","volume":"31","author":"Serra","year":"2012","journal-title":"Rev Esp Med Nucl Imagen Mol."},{"issue":"4","key":"bib25-20231108","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/S0899-7071(03)00192-X","article-title":"Osteonecrosis in patients with systemic lupus erythematosus: MR imaging and scintigraphic evaluation","volume":"28","author":"Oh","year":"2004","journal-title":"Clin Imaging."},{"issue":"3","key":"bib26-20231108","doi-asserted-by":"crossref","first-page":"209","DOI":"10.55095\/achot2010\/042","article-title":"Iliosacral screw fixation of the unstable pelvic ring injuries","volume":"77","author":"Rysav\u00fd","year":"2010","journal-title":"Acta Chir Orthop Traumatol Cech."},{"issue":"8","key":"bib27-20231108","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1097\/00005131-199711000-00007","article-title":"Iliosacral screw fixation: early complications of the percutaneous technique","volume":"11","author":"Routt","year":"1997","journal-title":"J Orthop Trauma."},{"issue":"4","key":"bib28-20231108","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.ocl.2015.06.005","article-title":"Percutaneous sacroiliac screw fixation of the posterior pelvic ring","volume":"46","author":"Iorio","year":"2015","journal-title":"Orthop Clin North Am."},{"issue":"1","key":"bib29-20231108","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/00005373-199707000-00037","article-title":"Pseudoaneurysm of the superior gluteal arterial system: an unusual cause of pain after a pelvic fracture","volume":"43","author":"Stephen","year":"1997","journal-title":"J Trauma."},{"issue":"1","key":"bib30-20231108","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1055\/s-2008-1035776","article-title":"[Extensive gluteal necrosis following bilateral embolization of the internal iliac artery (a case report)]","volume":"47","author":"Adamietz","year":"1987","journal-title":"Geburtshilfe Frauenheilkd."},{"issue":"2","key":"bib31-20231108","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.ijscr.2011.11.002","article-title":"Gluteal necrosis following pelvic fracture and bilateral internal iliac embolization: reconstruction using a transposition flap based on the lumbar artery perforators","volume":"3","author":"Gilleard","year":"2012","journal-title":"Int J Surg Case Rep."},{"issue":"3","key":"bib32-20231108","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s00068-007-6003-2","article-title":"Gluteal soft tissue necrosis after transcatheter angiographic embolization for pelvic fracture: a report of two cases","volume":"33","author":"Kato","year":"2007","journal-title":"Eur J Trauma Emerg Surg."},{"issue":"22","key":"bib33-20231108","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1056\/NEJM199205283262206","article-title":"Nontraumatic necrosis of bone (osteonecrosis)","volume":"326","author":"Mankin","year":"1992","journal-title":"N Engl J Med."},{"key":"bib34-20231108","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1097\/BLO.0b013e3181591c92","article-title":"Osteonecrosis of the hip: novel approaches to evaluation and treatment","volume":"465","author":"Petrigliano","year":"2007","journal-title":"Clin Orthop Relat Res."},{"issue":"1","key":"bib35-20231108","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3171\/2014.10.SPINE14516","article-title":"Surgical and clinical efficacy of sacroiliac joint fusion: a systematic review of the literature","volume":"23","author":"Zaidi","year":"2015","journal-title":"J Neurosurg Spine."},{"issue":"1","key":"bib36-20231108","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/S0049-0172(05)80026-5","article-title":"Osteonecrosis: current perspectives on pathogenesis and treatment","volume":"23","author":"Chang","year":"1993","journal-title":"Semin Arthritis Rheum."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201712000-00017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:37:02Z","timestamp":1787751422000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201712000-00017"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2017,11,22]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.16.00151","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,22]]}}}