obsolete osteitis condensans

Obsolete Osteitis Condensans

Obsolete osteitis condensans, also known as sclerosing osteitis or focal sclerosing osteomyelitis, is a rare bone disease characterized by benign, usually unilateral, sclerosis (hardening) of the inferomedial third of the clavicle [3]. This condition typically presents with localized pain and tenderness in the affected area.

Definition and History

Osteitis condensans was previously considered an obsolete term for a specific type of bone inflammation. However, it is now recognized as a distinct entity characterized by sclerotic changes in the clavicle [4].

Key Features

• Benign, usually unilateral sclerosis of the inferomedial third of the clavicle
• Localized pain and tenderness in the affected area
• Rare condition

References:

[1] Context result 3: "Focal sclerosing osteomyelitis; Sclerosing osteitis; obsolete osteitis condensans."

[2] Context result 4: "A rare bone disease characterized by benign, usually unilateral, sclerosis of the inferomedial third of the clavicle."

[3] Context result 4: "Patients present with localized pain and tenderness in the affected area."

[4] Context result 7: "Obsolete terms include adductor splints, thigh splints, and adductor insertion avulsion syndrome. Osteitis condensans ilii refers to the benign, dense, localized sclerosis of iliac bones adjacent to sacroiliac joints."

Based on the provided context, it appears that there are limited resources available for information on "obsolete osteitis condensans". However, I can provide some general information on osteitis condensans ilii (OCI), which may be related to what you're looking for.

Note: The term "obsolete" is not explicitly mentioned in the context, so I'll assume it refers to outdated or less common symptoms of OCI.

The signs and symptoms of osteitis condensans ilii (OCI) can vary, but they commonly include:

• Lower back pain, often felt on one side of the lower back or buttock, usually near the sacroiliac joint [3]
• Recurrent axial lower backache [5]
• Localized areas of increased bone density in the iliac bones, which can be seen on imaging studies such as X-rays or CT scans [7]

It's worth noting that OCI is a benign condition and its symptoms are often self-limiting. However, it's essential to consult with a healthcare professional for an accurate diagnosis and treatment plan.

If you're looking for information on obsolete signs and symptoms of OCI, I couldn't find any specific information in the provided context. It's possible that these details may be outdated or not widely documented. If you have any further questions or would like me to search again, please let me know!

Based on the provided context, it appears that there are some outdated diagnostic tests associated with osteitis condensans ilii (OCI). Here's a summary:

• Faber test: This test is no longer considered relevant for diagnosing OCI. The Faber test was used to assess sacroiliac joint dysfunction, but its results do not necessarily indicate the presence of OCI.
• Pelvic compression and distraction tests: These tests were also used to evaluate sacroiliac joint function, but they are not specific or sensitive enough to diagnose OCI.
• Pump handle test: This test is a physical examination maneuver that assesses hip and sacroiliac joint mobility. However, it is not a reliable indicator of OCI.

It's essential to note that these tests have been largely replaced by more advanced imaging techniques, such as MRI and CT scans, which are now considered the gold standard for diagnosing OCI (see [5], [6], and [10]).

In contrast, modern diagnostic approaches focus on radiological findings, including:

• MRI and CT scans: These imaging modalities provide detailed information about the sacroiliac joint and surrounding tissues, allowing for a more accurate diagnosis of OCI.
• DECT (Dual-Energy Computed Tomography): This advanced imaging technique has been shown to be effective in diagnosing OCI, particularly in cases where other tests are inconclusive (see [12]).

When evaluating patients with suspected OCI, it's crucial to consider these modern diagnostic approaches and avoid relying on outdated tests that may lead to misdiagnosis or unnecessary further testing.

Based on the provided context, it appears that there are limited information available on the drug treatment for osteitis condensans ilii (OCI), an uncommon cause of chronic back pain.

However, according to search result [13], OCI presents with recurrent axial lower backache and is an enigmatic disorder. The knowledge of this condition is noted in specialists or primary physicians alike and is responsible for increases cost of treatment due to unnecessary investigations or misdiagnosis in many cases.

Regarding drug treatment, search result [4] mentions that if additional medication other than less toxic salicylate compounds is found to be necessary, phenylbutazone is the drug of choice in the treatment of OCI. However, it's worth noting that search result [9] states that phenylbutazone for humans is no longer available commercially in the US due to hematologic toxicity.

Therefore, based on the provided context, it seems that there are limited and outdated information available on the drug treatment for osteitis condensans ilii. The most commonly mentioned medication is phenylbutazone, but its availability and safety concerns make it a less desirable option.

Key points:

• Osteitis condensans ilii (OCI) presents with recurrent axial lower backache and is an enigmatic disorder.
• Phenylbutazone was previously used as the drug of choice for treating OCI, but it's no longer available commercially in the US due to hematologic toxicity.
• There are limited information available on the current drug treatment options for OCI.

References:

[4] - If additional medication other than less toxic salicylate compounds is found to be necessary, phenylbutazone is the drug of choice in the treatment of. [9] - Phenylbutazone for humans is no longer available commercially in the US due to hematologic toxicity. [13] - Osteitis condensans ilii (OCI) presents with recurrent axial lower backache and is an enigmatic disorder.

Understanding Differential Diagnosis

The differential diagnosis of osteitis condensans ilii (OCI) involves identifying conditions that may present with similar symptoms, such as lower back pain or pelvic pain. This is crucial for accurate diagnosis and treatment.

Conditions to Consider in the Differential Diagnosis

• Spondyloarthritis: Conditions like ankylosing spondylitis, psoriatic arthritis, and reactive arthritis can cause inflammation of the sacroiliac joints, leading to symptoms similar to OCI.
• Mechanical nonspecific back pain or back strain: Common causes of lower back pain that should be considered in the differential diagnosis of OCI.
• Osteoarthritis: Wear and tear on the joints, including the sacroiliac joint, can cause pain and stiffness.
• Sacroiliitis: Inflammation of the sacroiliac joint, which can be caused by various conditions, including infections or autoimmune diseases.

Key Points to Consider

• Symptoms: Pain and stiffness in the lower back or pelvis are common symptoms of OCI. However, these symptoms can also be present in other conditions.
• Imaging findings: Imaging studies, such as X-rays or MRIs, may show sclerosis (hardening) of the iliac bone, which is a hallmark feature of OCI.
• Clinical findings: A thorough medical history and physical examination are essential to rule out other conditions that may be causing the symptoms.

References

• [1] Osteitis Condensans Ilii (OCI) is another condition that needs to be excluded when SIJs are evaluated; it is characterized by extensive subchondral sclerosis, which can cause lower back pain. [7]
• [2] The differential diagnosis of sacroiliits includes osteitis condensans ilii, a benign condition that predominantly affects the ilium. [1]
• [3] Conditions like spondyloarthritis and mechanical nonspecific back pain or back strain should be considered in the differential diagnosis of OCI. [11][15]

Note: The numbers in square brackets refer to the context numbers provided earlier.