While infection of the iliac bone is not common, it is far from rare. When it occurs in children, it is a particularly serious condition, because the diagnosis at first may be difficult. Since immediate prognosis, prevention of complications and shortening of convalescence depend on early treatment, early diagnosis is essential.
This condition has been looked on as infrequent from such published reports as that of Monsaigeon,1 who was able to compile only fourteen cases during a period of thirteen years in one of the large clinics in Paris, and of Simmons2 who, in his report of ninety-seven cases of general osteomyelitis in the Massachusetts General Hospital, listed only two cases of ilium infection. In addition, at the German Surgical Congress,3 Lücke reported twenty-four cases of osteomyelitis, including one of the ilium; Volkman, twenty-nine, including none of the ilium; Schede, twenty-four, including two; Kocher, thirty, including one;
BEARSE C. OSTEOMYELITIS OF THE ILIUM IN CHILDREN. JAMA. 1923;80(14):991-992. doi:10.1001/jama.1923.02640410021009