Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
  • 1

    Lafforgue P, Trijau S: Bone infarcts: unsuspected gray areas? Joint Bone Spine 83: 495, 2016.

  • 2

    Kanthawang T, Pattamapaspong N, Louthrenoo W: Acute bone infarction: a rare complication in thalassemia. Skeletal Radiol 45: 1013, 2016.

    • Search Google Scholar
    • Export Citation
  • 3

    Millhouse PW, Miller AJ, Paul J, et al: Delayed bone infarct in the ilium following a pelvic crush injury and embolization: a case report. JBJS Case Connect 7: e89, 2017.

    • Search Google Scholar
    • Export Citation
  • 4

    Spaargaren GJ, Rutten MJC: Multiple bone infarcts of the left femur and tibia. JBR-BTR 94: 134, 2011.

  • 5

    Falk L, Hultman J, Broman LM: Extracorporeal membrane oxygenation for septic shock. Crit Care Med 47: 1097, 2019.

  • 6

    Bonicolini E, Martucci G, Simons J, et al: Limb ischemia in peripheral veno-arterial extracorporeal membrane oxygenation: a narrative review of incidence, prevention, monitoring, and treatment. Crit Care 23: 266, 2019.

    • Search Google Scholar
    • Export Citation
  • 7

    Moon DK: Epidemiology, cause, and anatomy of osteonecrosis of the foot and ankle. Foot Ankle Clin 24: 1, 2019.

  • 8

    Collaborative Osteonecrosis Group: Symptomatic multifocal osteonecrosis: a multicenter study. Clin Orthop Relat Res 369: 312, 1999.

  • 9

    Agarwal S, Sasi A, Ray A, et al: Pancreatitis panniculitis polyarthritis syndrome with multiple bone infarcts. QJM 112: 43, 2019.

  • 10

    Hughes D, Mikosch P, Belmatoug N, et al: Gaucher disease in bone: from pathophysiology to practice. J Bone Miner Res 34: 996, 2019.

  • 11

    Mankin H: Nontraumatic necrosis of bone (osteonecrosis). N Engl J Med 326: 653, 1992.

  • 12

    DiGiovanni CW, Patel A, Calfee R, et al: Osteonecrosis in the foot. J Am Acad Orthop Surg 15: 208, 2007.

Online Publication Date:
Sep 2022

Multifocal Osteonecrosis in the Foot and Ankle After Extracorporeal Membrane Oxygenation: A Case Report

Nhat Tien TranDepartment Orthopedic Surgery, Jeonbuk National University Medical School, Research Institute of Clinical Medicine of Jeonbuk National University–Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, South Korea.

Search for other papers by Nhat Tien Tran in
Current site
Google Scholar
PubMedClose
 MD
and
Kwang-Bok LeeDepartment Orthopedic Surgery, Jeonbuk National University Medical School, Research Institute of Clinical Medicine of Jeonbuk National University–Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, South Korea.

Search for other papers by Kwang-Bok Lee in
Current site
Google Scholar
PubMedClose
 MD
DOI:
https://doi.org/10.7547/21-060
Restricted access
Get Permission

Osteonecrosis is acknowledged as a relatively uncommon disorder caused by various factors, including autoimmune diseases, drug-induced diseases, inherited metabolic disorders, coagulation disorders, and underlying malignancies. To our knowledge, no previous research has investigated osteonecrosis stemming from extracorporeal membrane oxygenation. Herein, we report a rare case of postperipheral venoarterial extracorporeal membrane oxygenation–induced multifocal osteonecrosis in the foot and ankle that demonstrated a low serpiginous peripheral signal on T1-weighted images and a double-line sign on fat-suppressed or T2-weighted magnetic resonance images. Conservative treatment was applied, and the patient was mostly recuperated after 6 months.

Corresponding author: Kwang-Bok Lee, MD, Department of Orthopedic Surgery, Jeonbuk National University Medical School, Jeonbuk National University Hospital, 634-18, Keumam-dong, Jeonju-shi, Jeonbuk, South Korea. (E-mail: osdr2815@naver.com)