The Journal of Bone and Joint Surgery (American). 2009;91:2229-2231.
doi:10.2106/JBJS.H.01394
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Multifocal Osteonecrosis Caused by Traumatic Pancreatitis in a Child

A Case Report

Hironobu Koseki, MD1, Toshiyuki Tsurumoto, MD1, Makoto Osaki, MD1 and Hiroyuki Shindo, MD1

1 Department of Orthopedic Surgery, Graduate School of Biomedical Science, Nagasaki University, 1-7-1, Sakamoto, Nagasaki 852-8501, Japan. E-mail address for H. Koseki: f2101@cc.nagasaki-u.ac.jp. E-mail address for T. Tsurumoto: tsurumot@nagasaki-u.ac.jp. E-mail address for M. Osaki: mosaki@nagasaki-u.ac.jp. E-mail address for H. Shindo: shindo@net.nagasaki-u.ac.jp

Investigation performed at the Department of Orthopedic Surgery, Graduate School of Biomedical Science, Nagasaki University, Nagasaki, Japan

The first 150 words of the full text of this article appear below.


   Introduction
 
The main factors contributing to the development of secondary osteonecrosis are trauma, the habitual use of alcohol and steroid drugs, and medical conditions such as diabetes mellitus and hyperlipidemia1,2. Osteonecrosis is frequently seen in association with pancreatitis complicated by the alcohol factor but is rarely associated with uncomplicated pancreatitis1-4. We are aware of only one report of symptomatic osteonecrosis secondary to trauma-induced pancreatitis4.

We treated a child in whom multifocal osteonecrosis developed following traumatic pancreatitis. The patient's family was informed that data concerning the case would be submitted for publication and they consented.


   Case Report
 
A ten-year-old girl was injured in a fall from an iron fence surrounding a swing set. She sustained a severe impact to the abdomen and was taken to our hospital. Her family history and medical history were unremarkable. On admission, the blood pressure was 120/87 mm Hg, the pulse was 82 beats/min, and the . . . [Full Text of this Article]


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