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High iliac wing

MedGen UID:
370075
•Concept ID:
C1969680
•
Finding
Synonyms: High and narrow iliac wings; High, narrow iliac wings; Narrow, high iliac wings
 
HPO: HP:0008808

Definition

Increased height of the wing (or ala) of the ilium (which is the large expanded portion which bounds the greater pelvis laterally). [from HPO]

Conditions with this feature

Craniolenticulosutural dysplasia
MedGen UID:
334671
•Concept ID:
C1843042
•
Disease or Syndrome
Craniolenticulosutural dysplasia is characterized by facial dysmorphism, late-closing fontanels, cataract, and skeletal defects (summary by Boyadjiev et al., 2011).
See: Condition Record
Craniolenticulosutural dysplasia

Professional guidelines

PubMed

Surgical management of iliac wing fractures: Proposal of a new classification system.
Villán-Gaona JL, Valderrama-Molina CO, Altamirano-Cruz MA, Montero-Oropeza Y
Injury 2023 Nov;54 Suppl 6:110837. doi: 10.1016/j.injury.2023.110837. PMID: 38143137
Surgical management of pelvic primary bone tumors involving the sacroiliac joint.
Sabourin M, Biau D, Babinet A, Dumaine V, Tomeno B, Anract P
Orthop Traumatol Surg Res 2009 Jun;95(4):284-92. Epub 2009 May 30 doi: 10.1016/j.otsr.2009.04.008. PMID: 19482533

Recent clinical studies

Etiology

Long-term results after isolated iliac wing fractures.
Dara K, Bere T, Hellund JC, Flugsrud GB, Røise O
Injury 2022 Nov;53(11):3795-3799. Epub 2022 Aug 18 doi: 10.1016/j.injury.2022.08.033. PMID: 36057487
Design and evaluation of an intelligent reduction robot system for the minimally invasive reduction in pelvic fractures.
Zhao C, Wang Y, Wu X, Zhu G, Shi S
J Orthop Surg Res 2022 Apr 4;17(1):205. doi: 10.1186/s13018-022-03089-2. PMID: 35379278Free PMC Article
Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients.
Li YG, Wang ZY, Tian JG, Su YH, Sang XG
Chin J Traumatol 2021 May;24(3):136-139. Epub 2021 Mar 13 doi: 10.1016/j.cjtee.2021.03.002. PMID: 33745761Free PMC Article
Transposition, elevation, lipectomy and V-Wing for easy needling.
Bourquelot P, Karam L, Robert-Ebadi H, Pirozzi N
J Vasc Access 2015;16 Suppl 9:S108-13. Epub 2015 Mar 8 doi: 10.5301/jva.5000353. PMID: 25751563
Osteosarcoma of the pelvis.
Donati D, Giacomini S, Gozzi E, Ferrari S, Sangiorgi L, Tienghi A, DeGroot H, Bertoni F, Bacchini P, Bacci G, Mercuri M
Eur J Surg Oncol 2004 Apr;30(3):332-40. doi: 10.1016/j.ejso.2003.12.004. PMID: 15028318

Diagnosis

Impact of scan quality on AI assessment of hip dysplasia ultrasound.
Hareendranathan AR, Chahal B, Ghasseminia S, Zonoobi D, Jaremko JL
J Ultrasound 2022 Jun;25(2):145-153. Epub 2021 Mar 5 doi: 10.1007/s40477-021-00560-4. PMID: 33675031Free PMC Article
Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients.
Li YG, Wang ZY, Tian JG, Su YH, Sang XG
Chin J Traumatol 2021 May;24(3):136-139. Epub 2021 Mar 13 doi: 10.1016/j.cjtee.2021.03.002. PMID: 33745761Free PMC Article
Identification of EWSR1-NFATC2 fusion in simple bone cysts.
Hung YP, Fisch AS, Diaz-Perez JA, Iafrate AJ, Lennerz JK, Nardi V, Bredella MA, Raskin KA, Lozano-Calderon SA, Rosenberg AE, Nielsen GP
Histopathology 2021 May;78(6):849-856. Epub 2021 Mar 16 doi: 10.1111/his.14314. PMID: 33316098
Proximal femoral fractures and vascular injuries in adults: Incidence, aetiology and outcomes.
Barquet A, Gelink A, Giannoudis PV
Injury 2015 Dec;46(12):2297-313. Epub 2015 Oct 19 doi: 10.1016/j.injury.2015.10.021. PMID: 26521991
The iliac wing sign: an indicator of the presence of bone and/or soft-tissue injury of the pelvis and hips.
Kakigi T, Hosono M, Shimono T, Hiraoka T, Nishimura K
Eur J Radiol 2012 Sep;81(9):2348-52. Epub 2011 Sep 9 doi: 10.1016/j.ejrad.2011.08.006. PMID: 21908123

Therapy

Is CT-A Always Reliable in Detecting Active Bleeding in Closed Pelvic Fractures? Management of a Case with Multiple Closed Pelvic Fratures and Internal Iliac Artery Bleeding.
Vasilopoulou A, Mamalis V, Maris SJ, Antonogiannakis E, Roupinas I, Angelis S, Kyriakopoulos S, Tsanis A, Apostolopoulos AP
J Long Term Eff Med Implants 2022;32(4):1-6. doi: 10.1615/JLongTermEffMedImplants.2022042027. PMID: 36017922
Primary psoas tuberculosis abscess with an iliac bone lytic lesion: a case report.
Mohandes AF, Karam B, Alrstom A, Alasadi L, Rajab Bek MW, Daher N, Alsuliman T, Abouhareb R
J Med Case Rep 2022 May 18;16(1):209. doi: 10.1186/s13256-022-03417-4. PMID: 35581665Free PMC Article
Proximal femoral fractures and vascular injuries in adults: Incidence, aetiology and outcomes.
Barquet A, Gelink A, Giannoudis PV
Injury 2015 Dec;46(12):2297-313. Epub 2015 Oct 19 doi: 10.1016/j.injury.2015.10.021. PMID: 26521991
Transposition, elevation, lipectomy and V-Wing for easy needling.
Bourquelot P, Karam L, Robert-Ebadi H, Pirozzi N
J Vasc Access 2015;16 Suppl 9:S108-13. Epub 2015 Mar 8 doi: 10.5301/jva.5000353. PMID: 25751563
Modified iliac bone harvesting--morbidity and patients' experience.
Falkensammer N, Kirmeier R, Arnetzl C, Wildburger A, Eskici A, Jakse N
J Oral Maxillofac Surg 2009 Aug;67(8):1700-5. doi: 10.1016/j.joms.2009.03.022. PMID: 19615585

Prognosis

Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients.
Li YG, Wang ZY, Tian JG, Su YH, Sang XG
Chin J Traumatol 2021 May;24(3):136-139. Epub 2021 Mar 13 doi: 10.1016/j.cjtee.2021.03.002. PMID: 33745761Free PMC Article
Kinematic and Injury Response of Reclined PMHS in Frontal Impacts.
Richardson R, Donlon JP, Jayathirtha M, Forman JL, Shaw G, Gepner B, Kerrigan JR, Östling M, Mroz K, Pipkorn B
Stapp Car Crash J 2020 Nov;64:83-153. doi: 10.4271/2020-22-0004. PMID: 33636004
Proximal femoral fractures and vascular injuries in adults: Incidence, aetiology and outcomes.
Barquet A, Gelink A, Giannoudis PV
Injury 2015 Dec;46(12):2297-313. Epub 2015 Oct 19 doi: 10.1016/j.injury.2015.10.021. PMID: 26521991
The iliac wing sign: an indicator of the presence of bone and/or soft-tissue injury of the pelvis and hips.
Kakigi T, Hosono M, Shimono T, Hiraoka T, Nishimura K
Eur J Radiol 2012 Sep;81(9):2348-52. Epub 2011 Sep 9 doi: 10.1016/j.ejrad.2011.08.006. PMID: 21908123
Osteosarcoma of the pelvis.
Donati D, Giacomini S, Gozzi E, Ferrari S, Sangiorgi L, Tienghi A, DeGroot H, Bertoni F, Bacchini P, Bacci G, Mercuri M
Eur J Surg Oncol 2004 Apr;30(3):332-40. doi: 10.1016/j.ejso.2003.12.004. PMID: 15028318

Clinical prediction guides

Long-term results after isolated iliac wing fractures.
Dara K, Bere T, Hellund JC, Flugsrud GB, Røise O
Injury 2022 Nov;53(11):3795-3799. Epub 2022 Aug 18 doi: 10.1016/j.injury.2022.08.033. PMID: 36057487
Impact of scan quality on AI assessment of hip dysplasia ultrasound.
Hareendranathan AR, Chahal B, Ghasseminia S, Zonoobi D, Jaremko JL
J Ultrasound 2022 Jun;25(2):145-153. Epub 2021 Mar 5 doi: 10.1007/s40477-021-00560-4. PMID: 33675031Free PMC Article
Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients.
Li YG, Wang ZY, Tian JG, Su YH, Sang XG
Chin J Traumatol 2021 May;24(3):136-139. Epub 2021 Mar 13 doi: 10.1016/j.cjtee.2021.03.002. PMID: 33745761Free PMC Article
Kinematic and Injury Response of Reclined PMHS in Frontal Impacts.
Richardson R, Donlon JP, Jayathirtha M, Forman JL, Shaw G, Gepner B, Kerrigan JR, Östling M, Mroz K, Pipkorn B
Stapp Car Crash J 2020 Nov;64:83-153. doi: 10.4271/2020-22-0004. PMID: 33636004
Crescent fracture-dislocation of the sacroiliac joint: a functional classification.
Day AC, Kinmont C, Bircher MD, Kumar S
J Bone Joint Surg Br 2007 May;89(5):651-8. doi: 10.1302/0301-620X.89B5.18129. PMID: 17540753

Recent systematic reviews

Proximal femoral fractures and vascular injuries in adults: Incidence, aetiology and outcomes.
Barquet A, Gelink A, Giannoudis PV
Injury 2015 Dec;46(12):2297-313. Epub 2015 Oct 19 doi: 10.1016/j.injury.2015.10.021. PMID: 26521991

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