Pediatric Radiology

, Volume 18, Issue 1, pp 57–61 | Cite as

The scintigraphic and radiographic appearance of the ischiopubic synchondroses in normal children and in osteomyelitis

  • R. Kloiber
  • K. Udjus
  • W. McIntyre
  • J. Jarvis


Five cases of hematogenous osteomyelitis of the ischiopubic synchondrosis (IPS) were encountered among 180 patients with osteomyelitis treated over a 5-year period. Symptoms were poorly localized in all these IPS osteomyelitis patients. The IPS can normally show expansion and irregular mineralization radiographically and focal hyperconcentration of radiophosphates on scintigrams. Findings are frequently asymmetrical negating comparison with the contralateral side. In the cases of osteomyelitis, radiographs were abnormal at the time of presentation in only one of these five cases. In two of the four patients who had radionuclide bone scans, activity at the IPS exceeded that seen in a normal control population, but all showed loss of definition of the IPS and regional increased uptake permitting an early diagnosis.


Public Health Radionuclide Normal Control Early Diagnosis Osteomyelitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Trueta J (1959) Three types of acute hematogenous osteomyelitis: a clinical and vascular study. J Bone Joint Surg [Br] 41: 671Google Scholar
  2. 2.
    Nixon GW (1978) Hematogenous osteomyelitis of metaphyseal-equivalent locations. Am J Roentgenol 130: 123Google Scholar
  3. 3.
    Edwards M, Baker C, Granberry W, Barrette F (1978) Pelvic osteomyelitis in children. Pediatrics 61: 62PubMedGoogle Scholar
  4. 4.
    Heldrich F, Harris V (1979) Osteomyelitis of the pubis. Acta Paediatr Scand 68: 39PubMedGoogle Scholar
  5. 5.
    Highland TR, Lamont RL (1983) Osteomyelitis of the pelvis in children. J Bone Joint Surg 65-A: 230Google Scholar
  6. 6.
    Morrey BF, Bianco AJ, Rhodes KH (1978) Hematogeneous osteomyelitis at uncommon sites in children. Mayo Clin Proc 53: 707PubMedGoogle Scholar
  7. 7.
    Farley T, Conway J, Shulman ST (1985) Hematogeneous pelvic osteomyelitis in children — clinical correlates of newer scanning methods. Am J Dis Child 139: 946PubMedGoogle Scholar
  8. 8.
    Caffey J, Ross SE (1956) The ischiopubic synchondrosis in healthy children: some normal roentgenologic findings. AJR 76: 488Google Scholar
  9. 9.
    Cawley KA, Dvorkak AD, Wilmot MD (1982) Normal anatomic variant: scintigraphy of the ischiopubic synchondrosis. J Nucl Med 24: 14Google Scholar
  10. 10.
    Jarvis J, McIntyre W, Udjus K, Kloiber R (1985) Osteomyelitis of the ischiopubic synchondrosis. J Pediatr Orthop 5: 163PubMedGoogle Scholar
  11. 11.
    Kloiber R, Pavlosky W, Portner O, Gartke K (1983) Bone scintigraphy of hip joint effusions in children. AJR 140: 995PubMedGoogle Scholar
  12. 12.
    Howie DW, Savage JP, Wilson TG, Paterson D (1983) The technetium phosphate bone scan in the diagnosis of osteomyelitis in childhood. J Bone Joint Surg 65-A: 431Google Scholar
  13. 13.
    Murray IP (1980) Bone scanning in the child and young adult. Skeletal Radiol 5: 65CrossRefPubMedGoogle Scholar
  14. 14.
    Gilday DL, Paul DJ, Paterson J (1975) Diagnosis of osteomyelitis in children by combined blood pool and bone imaging. Radiology 117: 331PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • R. Kloiber
    • 1
  • K. Udjus
    • 2
  • W. McIntyre
    • 3
  • J. Jarvis
    • 3
  1. 1.Division of Nuclear Medicine, Foothills HospitalUniversity of CalgaryCalgary
  2. 2.Department of RadiologyChildren's Hospital of Eastern Ontario, University of OttawaOttawaCanada
  3. 3.Division of OrthopedicsChildren's Hospital of Eastern Ontario, University of OttawaOttawaCanada

Personalised recommendations