PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “SACROILIAC JOINT”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 199 records · Page 11Linked to original sources
PubMed1990

[A comparison of conventional tomography and computed tomography in cases of diseases of the sacroiliac joint].

16 patients with diseases of the sacroiliac joints were examined both with computer tomography and with conventional tomography. Both techniques were characterized by a high sensitivity. Computer tomography was superior in exactly delineating the extent of the pathologic changes. In conventional tomography the joint surface was more blurred, erosions were larger, and signs of ankylosis were more expanded, so that the joints seemed to be more altered in 8 cases than demonstrated by computer tomography. Very accurate changes like subchondral cysts were recognized only in the computer tomograms. In all cases in which anteroposterior radiographs revealed no clear result, the authors recommend to additionally employ computer tomography.

Adult↗
PubMed1998

Influence of age and gender on quantitative sacroiliac joint scintigraphy.

UNLABELLED: The value of quantitative sacroiliac joint scintigraphy for detecting sacroiliitis is controversial. Age and gender may contribute to this discordance. In previous reports, the number of control groups has been small and might not exactly reflect the change of sacroiliac/sacral (SI/S) ratios related to different age. In addition, the selection of control subjects was not strict. In most studies, care was not taken to ensure that control subjects did not have a history of back pain or any other relevant conditions. In addition, there was no requirement for a normal radiograph as a condition of inclusion. The aim of our study was to evaluate the consequent changes in SI/S ratios, according to age (in 10-yr intervals) and gender. METHODS: Over a period of 5 yr, 413 control subjects without a history of back pain, scoliosis, kyphosis, joint pain, arthritis, lesions within the pelvis, chemotherapy or systemic disease such as diabetes or systemic lupus erythematosus were included in this study. A posterior planar film of the pelvis was obtained to calculate SI/S ratio 3 hr after injection of 740 MBq 99mTc-methylenediphosphonate. Our data showed that: (a) the change in SI/S ratios related to age was significant in both females and males; (b) the SI/S ratios were higher in males younger than 30 yr and higher in men in the 41-50-yr age group and in females in other groups; (c) the SI/S ratios declined steadily with increasing age in females, whereas there were two plateaus in men aged 21-40 yr and 41-70 yr; (d) there were significant differences of SI/S ratios between the genders in certain age groups; and (e) no differences were found between left SI/S ratios and right SI/S ratios. CONCLUSION: The influence of age and gender on SI/S ratios are substantial, and it is essential for each department to establish its own values for SI/S ratios based on gender and age (in 10-yr intervals).

Adolescent↗
PubMedDate not supplied

The effect of sacroiliac joint manipulation on feed-forward activation times of the deep abdominal musculature.

OBJECTIVES: To determine the incidence of delayed feed-forward activation (FFA) times in a group of healthy young males; to retest those subjects who showed delayed FFA after 6 months to determine the reliability of the measure in the absence of treatment or injury in the intervening period; and to determine the effect of sacroiliac joint manipulation on delayed FFA times. METHODS: Ninety young males were assessed for the FFA of their deep abdominal muscles in relation to rapid upper limb movements. Those who met the criteria for delayed FFA (failure of deep abdominal activation within 50 milliseconds of deltoid activation) were then reassessed 6 months later. These subjects then underwent sacroiliac joint manipulation on the side demonstrating decreased joint movement during hip flexion and lateral flexion. Feed-forward activation times were then reassessed after joint manipulation. RESULTS: Seventeen (18.9%) of 90 subjects met the criteria of impaired FFA. Thirteen of 17 were available to be remeasured at 6-month follow-up. The intraclass correlation coefficient for FFA at this time was greater than 0.70 for all movement directions. There was a significant improvement (38.4%) in FFA times for this group when remeasured immediately after the sacroiliac joint manipulation. CONCLUSIONS: Delayed FFA is a highly reproducible measure at long-term follow-up. This technique appears to be a sensitive marker of the neural effects of sacroiliac joint manipulation. Future prospective studies are needed to determine if delayed FFA times are a marker for those at risk for developing back pain.

Abdominal Muscles↗
PubMed2004

Primary hydatid disease of sacrum affecting the sacroiliac joint: a case report.

STUDY DESIGN: A case report of hydatid disease of the spine. OBJECTIVE: To describe an unusual case of hydatid disease of the sacrum affecting the sacroiliac joint and to discuss imaging, differential diagnosis, and treatment. SUMMARY OF BACKGROUND DATA: Hydatidosis or echinococcosis affecting the spine is rare and has a characteristic geographic distribution. Signs of sacroiliac joint involvement and accompanying neurologic deficits cause difficulties in differential diagnosis of this rare condition. METHODS: A case of 38-year-old female patient with low back pain and sciatica was presented. RESULTS: Plain radiographs, computed tomography, and magnetic resonance imaging scans revealed destructive expansive lesion located on the right sacrum and extended through the right sacroiliac joint. Surgical enucleation of the cysts was performed together with mebendazole treatment and histopathologic examination confirmed hydatidosis. CONCLUSION: This unusual disease should be kept in mind in the differential diagnosis of sacroiliac pain and sciatica, especially in endemic areas.

Adult↗
PubMed1996

Pyogenic infection of the sacroiliac joint.

BACKGROUND: This review was undertaken to examine a collected series of patients with this uncommon condition. METHOD: Six definite and three possible cases of pyogenic infection of the sacroiliac joint are reported. Their manner of presentation, investigations, management and outcome are discussed in conjunction with a review of the literature. The patients were identified by searching the medical records of three hospitals over a 10 year period and the clinical data were analysed retrospectively. RESULTS: All patients were clinically tender over the involved sacroiliac joint and were experiencing fever. Technetium-99m bone scans demonstrated increased uptake in the sacroiliac joint in all patients, although two scans were initially negative. Plain pelvic radiographs, computed tomography scans and white cell counts were generally unhelpful in initially establishing the diagnosis. Blood cultures were positive in eight cases, and Staphylococcus aureus was isolated. There were four women and five men with an average age of 25 years. Six reported recent respiratory tract or skin infections. Two of these had also reported an episode of minor pelvic trauma in the preceding 2 weeks. A further two patients were intravenous drug users. Treatment was bed rest and antibiotics in all cases and marked initial improvement was seen. The outcome was variable, with a significant proportion reporting discomfort on the affected side after heavy exercise many years after the infection. CONCLUSION: The importance of a thorough clinical assessment and suspicion of the diagnosis of this uncommon illness is emphasized.

Adolescent↗
PubMed1995

The mobility of the sacroiliac joints in healthy volunteers between 20 and 50 years of age.

The nature and amplitude of movement in the sacroiliac joint (SIJ) is still open to controversy. Whereas some authors using modern measuring techniques have reported on the range of motion in the SIJ of patients and in embalmed elderly humans, the following is a presentation of our observations related to healthy individuals between 20 and 50 years of age. Using a three-dimensional stereophotogrammetric method, the motion in the joints of 15 males and nine females was investigated with change in posture from the upright standing position. The general description of spatial motion, as obtained through the helical axis concept, has been used. For comparison of the results obtained, the motion is also specified as components of rotation about vertical, anteroposterior and transverse axes, or in horizontal, frontal and sagittal planes respectively. The average values for total rotation and translation were low, being 1.7 degrees and 0.7 mm respectively. One of the test subjects who was known to have occasional trouble with his sacroiliac joints exhibited more than 6 degrees rotation. No statistically significant differences could be demonstrated with respect to sex, age, or parturition. RELEVANCE:--No data are available in the literature on the motion of the sacroiliac joints of healthy men and women in the age group 20-50 years. Measurements were carried out with the aid of percutaneously introduced external markers, using conventional light photography. This is a definite advantage over the use of X-rays and radio-opaque markers that would probably remain implanted in the bone indefinitely. Therefore this method might also be considered for future use in clinical research involving the mobility of the SIJ in patients.

Journal Article↗
PubMedDate not supplied

Macroscopic and microscopic anatomy of the sacroiliac joint from embryonic life until the eighth decade.

The macroscopic and microscopic anatomy of the sacroiliac joint from embryonic life until the eighth decade is presented to establish a baseline of normal anatomy for this joint. The literature concerning the anatomy of the joint was reviewed and found to be fragmentary and conflicting, particularly concerning the diarthroidial characteristics of the joint. From fetal life onward, the iliac cartilage surface is fibrocartilaginous, while the sacral surface is hyaline cartilage. Degenerative arthrosis of the joint commences at an early age, affecting the iliac cartilage to a greater extent than its sacral counterpart. These early degenerative changes in the sacroiliac joint may very well be a more common cause of low-back pain than previously thought.

Adolescent↗
PubMed1990

Bilateral sacroiliac joint fracture-dislocation: a case report.

Bilateral sacroiliac joint fracture-dislocation of the sacrum with displacement is a rare injury. We found only four such injuries previously reported in the literature. Nonoperative management in this case led to complete functional return and acceptable alignment.

Accidents, Traffic↗
PubMed1990

The "warm" sacroiliac joint. A finding in pelvic abscess.

Two patients with pain referable to the low back and sacroiliac regions had bone scans with similar findings. In each, one sacroiliac joint was "warm" (uptake on that side was slightly greater than that in the contralateral area). Ga-67 imaging also demonstrated increased uptake in the same locale. Subsequent CT scanning revealed pelvic abscesses adjacent to the affected joints. Asymmetric uptake of bone imaging agent may have been related to hyperemia and "heating" of the sacroiliac joint. Rapid defervescence with antibiotics and drainage (and no CT evidence of bone involvement) suggested that osteomyelitis was not involved in these cases.

Abscess↗
PubMed1996

Ureteral entrapment in the sacroiliac joint in pelvic trauma.

We describe a case of unilateral entrapment of the ureter in the sacroiliac joint of a patient who sustained blunt abdominal trauma resulting in fractures of the public rami and sacroiliac joint and multiple bladder perforations. The entrapment was discovered intraoperatively and released by external traction and reduction of the pelvic fractures. No ureteric damage was observed, and reimplantation was not necessary. The importance of evaluating the upper tracts for potential injury in patients with fractures of the bony pelvis and concomitant bladder rupture is emphasized.

Abdominal Injuries↗
PubMed2003

Sacroiliac joint pain and dysfunction.

The purpose of this current opinion on sacroiliac joint pain and dysfunction is to assist interventional pain physicians to apply appropriate treatment decisions and rationale to their patients in pain. Discussion of relevant scientific data and controversial positions will be provided. This review is intended to help characterize the sacroiliac joint as a pain generator, and explore its contribution to the differential diagnosis of low back pain. Historical, technical, and current treatment practice will be characterized against current evidence. Discussion will provoke support or criticism of the relevant scientific data, and general recommendations for interventional pain management physicians should be considered within the context of the individual practitioners skill and practice patterns. Current Opinion is not intended to provide a standard of care.

Journal Article↗
PubMedDate not supplied

Appearance of the sacroiliac joint in ventrodorsal radiographs of the normal canine pelvis.

Radiology of the canine sacroiliac (SI) joint was investigated by obtaining ventrodorsal radiographs of cadaveric pelves and bone specimens (n = 40) marked with solder wire or radiopaque paint to demonstrate the orientation of the sacroiliac joint in various radiographic views. In the following retrospective radiographic study (n = 94 survey sacroiliac joint radiographs), central projections of the sacrum were noted to ease identification of the dorsal, middle and ventral joint components, whereas angled projections of the sacrum had advantages when assessing the cranial joint components. Radiographic assessment was already successful in juvenile dogs older than 5 months. Failure in tracing the outlines of the joint space of the sacroiliac joints is not consistent with alteration of the SI joint. Rather, it was felt that alterations would have assisted in identifying the contours of the SI joints because of an increase in mineralization.

Animals↗
PubMed2001

Accuracy of computer-guided screw fixation of the sacroiliac joint.

Computer-assisted image guidance allows precise preoperative planning and intraoperative localization of surgical instruments. The technique recently was validated for the insertion of pedicle screws. In the laboratory, the precision of a surface-matching algorithm was evaluated for registration and accuracy and safety of screw placement into the vertebral bodies of S1 and S2 for fixation of the sacroiliac joint. Using six plastic pelves, 24 screw holes were made through the sacroiliac joint into the vertebral body of S1, and 12 holes were made through the sacroiliac joint into S2. The accuracy of the hole position was evaluated using a postoperative computed tomography examination. The safety factor was assessed by analysis of the remaining bone stock around the holes calculating a theoretical cylindrical volume being outside bone with increasing bore hole diameters. The registration was accurate with a mean error less than 1.4 mm in the posterior parts of the pelvis. The drilling followed precisely the preoperatively planned trajectories; perforation of the cortex of the sacrum was not observed. The safety factor of the S1 vertebral body is higher than that of S2 allowing larger diameter screw insertion into S1. This technique provides a safe and precise guide for transcutaneous or open insertion of iliosacral screws in cases of iliosacral dislocation or sacral fracture.

Algorithms↗
PubMed2006

Trans-iliac removal of bullet fragments from the sacroiliac joint.

The need for removal of intra-articular bullet fragments is well documented in the literature. Arthroscopy and arthrotomy are the preferred methods to access large superficial joints; however, these methods cannot be effectively used to access the sacroiliac joint. Its relationship to vital soft tissues and its convoluted joint anatomy make it almost impossible to explore even under open methods. We propose a new percutaneous technique for the removal of intra-articular bullet fragments from the sacroiliac joint. Our method meets two important goals: 1) percutaneous minimally invasive approach to the joint, and 2) removal of the bullet fragments while avoiding the potential morbidity of an open procedure.

Adult↗