Question

*Osteitis Condensans Ilia*

*1* AKA Osteitis Triangularis

*2* seen in multiparous *females between 20-40 years old, previously pregnant*

*3* characterized by *bilateral/symmetric triangular sclerotic areas on the lower have the the ilium with normal joint space* (the SI joint is not involved). *Bilateral whitening on the ilium side of the SI joints*.

*4* Self resolving so no labs, and generally asymptomatic

*5* Case management: trochanteric belt for stability

Answer 1

Osteitis Condensans Ilia (OCI) is a self-resolving condition that presents with bilateral triangular sclerotic areas on the ilium, typically affecting multiparous females aged between 20-40 years. It does not involve the sacroiliac joint and is usually asymptomatic. A trochanteric belt may be used for pelvic stability if needed.

Step-by-step explanation:

Osteitis Condensans Ilia (OCI), also known informally as Osteitis Triangularis, commonly affects multiparous females between 20-40 years old who have been pregnant in the past. This condition is characterized by bilateral and symmetrical triangular sclerotic areas on the lower half of the ilium. Notably, the sacroiliac (SI) joint maintains the normal space and is not involved in this condition, differentiating OCI from other conditions affecting the pelvis. When viewed under imaging, there appears to be bilateral whitening on the ilium side of the SI joints, which is indicative of OCI.

Despite the clear imaging findings, OCI is generally self-resolving and asymptomatic, meaning no laboratory tests are usually required for its diagnosis or management. However, in cases where stability issues are present, the use of a trochanteric belt may be advised for pelvic support.