Case Reports   |    
Multifocal Osteonecrosis Caused by Traumatic Pancreatitis in a ChildA Case Report
Hironobu Koseki, MD1; Toshiyuki Tsurumoto, MD1; Makoto Osaki, MD1; 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
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at the Department of Orthopedic Surgery, Graduate School of Biomedical Science, Nagasaki University, Nagasaki, Japan

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Sep 01;91(9):2229-2231. doi: 10.2106/JBJS.H.01394
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    District of Columbia (DC) - Children's National Medical Center
    New York - Icahn School of Medicine at Mount Sinai
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    W. Virginia - Charleston Area Medical Center