5,986 results match your criteria sacroiliac joint


MANIPULATIVE THERAPY OF SACRAL TORSION VERSUS MYOFASCIAL RELEASE IN PATIENTS CLINICALLY DIAGNOSED POSTERIOR PELVIC PAIN: A CONSORT COMPLIANT RANDOMIZED CONTROLLED TRIAL.

Spine J 2021 May 12. Epub 2021 May 12.

Instituto de Investigación Biosanitaria Granada (IBIS.Granada), Department of Physical Therapy, University of Granada (UGR), Spain. Electronic address:

Background Context: Chronic low back pain represents a health care problem with substantial costs. It is generally accepted that approximately 10% to 25% of patients with persistent chronic low back pain may have pain arising from the sacroiliac joints.

Purpose: This study aimed to analyze the effects of manipulative therapy of sacral torsion versus myofascial release on disability, pain intensity, and mobility in patients with chronic low back pain and sacroiliac joints. Read More

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Serial Lipocalin 2 and Oncostatin M levels reflect inflammation status and treatment response in axial spondyloarthritis.

Arthritis Res Ther 2021 May 14;23(1):141. Epub 2021 May 14.

Department of Immunology, University of Toronto, Toronto, Ontario, Canada.

Background: Informative serum biomarkers for monitoring inflammatory activity and treatment responses in axial spondyloarthritis (axSpA) are lacking. We assessed whether Lipocalin 2 (LCN2) and Oncostatin M (OSM), both having roles in inflammation and bone remodeling, may accurately reflect chronic joint inflammation and treatment response in axSpA. Previous reports in animal models showed involvement of LCN2 and OSM in joint/gut inflammation. Read More

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Differentiation of inflammatory from degenerative changes in the sacroiliac joints by machine learning supported texture analysis.

Eur J Radiol 2021 May 11;140:109755. Epub 2021 May 11.

Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland; Faculty of Medicine, University of Zurich, Switzerland.

Purpose: To compare the diagnostic performance of texture analysis (TA) against visual qualitative assessment in the differentiation of spondyloarthritis (SpA) from degenerative changes in the sacroiliac joints (SIJ).

Method: Ninety patients referred for suspected inflammatory lower back pain from the rheumatology department were retrospectively included at our university hospital institution. MRI at 3 T of the lumbar spine and SIJ was performed with oblique coronal T1-weighted (w), fluid-sensitive fat-saturated (fs) TIRM and fsT1w intravenously contrast-enhanced (CE) images. Read More

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Lumbar Disc Herniation is a Nonnegligible Factor for the Degeneration of Sacroiliac Joints.

Pain Physician 2021 May;24(3):E357-E365

Department of Rheumatology and Immunology, Guangdong Second Provincial General Hospital, China; The Second School of Clinical Medicine, Southern Medical University, China.

Background: Sacroiliac joint (SIJ) abnormality is a potential source of low back pain (LBP), therefore numerous patients receive various treatments because of the degenerative changes of SIJ. However, the outcome is unfavorable for patients because these morphologic alterations are common but not the origins of LBP. Previous studies revealed lumbar fusion and transitional vertebra increased the prevalence of degeneration of SIJ. Read More

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Subchondral Bone Changes Following Sacroiliac Joint Arthrodesis - A Morpho-mechanical Assessment of Surgical Treatment of the Painful Joint.

Pain Physician 2021 May;24(3):E317-E326

Department of Anatomy, University of Otago, Dunedin, New Zealand; Department of Orthopaedic and Trauma Surgery, University of Leipzig, Leipzig, Germany; Fraunhofer IWU, Dresden, Germany.

Background: Sacroiliac joint arthrodesis is an ultima ratio treatment option for sacroiliac joint dysfunction. Fusion drastically reduces sacroiliac joint movement providing long-lasting pain-relief associated with tension-relief to the innervated sacroiliac joint structures involved in force closure.

Objectives: To display the bone mineralization distribution patterns of the subchondral bone plate in 3 distinct regions (superior, anterior, and inferior) of the sacral and iliac counterparts of the sacroiliac joint pre- and post-sacroiliac joint arthrodesis and compare patterns of sacroiliac joint dysfunction post-sacroiliac joint fusion with sacroiliac joint dysfunction pre- arthrodesis patterns and those from healthy controls. Read More

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The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome.

Pain Physician 2021 May;24(3):223-233

Istanbul Faculty of Medicine, Istanbul University, Fatih, Turkey.

Background: Manual therapy, exercise therapy, and the combination of these 2 are common treatments for sacroiliac joint dysfunction syndrome. The effects of these treatments have been discussed in several studies; the superiority of one over the other for patients with sacroiliac joint dysfunction syndrome is still the subject of discussion.

Objective: This study aims to assess the effects of manual therapy for sacroiliac joints, sacroiliac joints home-based exercises, and home-based lumbar exercises. Read More

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Evaluation of a screw insertion landmark for a minimally invasive repair technique in induced bilateral sacroiliac luxation in feline cadavers.

J Feline Med Surg 2021 May 14:1098612X211010724. Epub 2021 May 14.

College of Veterinary Medicine, Jeonbuk National University, Iksan, Korea.

Objectives: The aim of this study was to describe an alternative landmark for screw insertion into the body of the ilium with bilateral sacroiliac luxation in cats.

Methods: Seven cat cadavers with artificially induced bilateral sacroiliac luxation were used. The screw insertion point was determined using the caudal iliac crest and cranial acetabular rim. Read More

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Readability of extraspinal organs on scout images of lumbar spine MRI according to different protocols.

PLoS One 2021 13;16(5):e0251310. Epub 2021 May 13.

Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.

Background: Scout images of lumbar spine MRI often include the extraspinal organs, which are barely included in routine MRI and can be a potential cause of lumbar pain.

Purpose: To evaluate the readability of scout images for extraspinal organs in lumbar spine MRI according to different protocols.

Materials And Methods: A total of 150 patients who underwent 1. Read More

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Multimodal treatment including lumbar facet joint denervation for severe low back pain in patients with neuromuscular disorders.

Neurol Sci 2021 May 10. Epub 2021 May 10.

Department of Neurosurgery, Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.

Background: Severe low back pain (LBP) is an occasional complaint in patients with neuromuscular disorders (NMDs). Accurate diagnosis and treatment are required to manage LBP; however, the precise pathophysiology differs for each patient. This study aimed to evaluate the efficacy of lumbar facet joint denervation (FJD) and adjunctive modalities in the treatment of LBP in patients with NMD-associated kyphoscoliosis. Read More

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Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy.

Vet Med Sci 2021 May 9. Epub 2021 May 9.

Peninsula Emergency and Referral Hospital, Mornington, Vic., Australia.

A 5-month-old female entire Dachshund presented with an acute onset of left hind limb lameness following intense play. There were concurrent intermittent neurological deficits in the left hind limb, and pain in the lumbosacral region and on dorsal flexion of the tail. Computed tomography (CT) imaging revealed an asymmetric widening of the left sacroiliac joint with loss of cortical margins, accompanied by mild osteolytic changes of the adjacent ilium and sacrum highly suggestive of septic sacroiliitis. Read More

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Review of Current Evidence for Minimally Invasive Posterior Sacroiliac Joint Fusion.

Int J Spine Surg 2021 May 7. Epub 2021 May 7.

Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas.

The sacroiliac joint (SIJ) is a large, irregularly shaped, serpentine joint structure bordered anteriorly and posteriorly by the sacroiliac ligaments. With increased recognition of the SIJ as a pain source, treatments have been historically nonsurgical in nature. Common treatments include bracing, medications, activity modification, manual therapy, chiropractic manipulation, physical therapy, and intra-articular SIJ injections. Read More

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Radiographic evaluation of reactive osteitis in traumatic injury of sacroiliac joints.

Clin Imaging 2021 Apr 29;76:175-179. Epub 2021 Apr 29.

Departments of Radiology and Orthopaedic Surgery and Rehabilitation, Loyola University Chicago Stritch School of Medicine, 2160 S 1st Ave, Maywood, IL 60153, United States of America. Electronic address:

Objectives: After traumatic Sacroiliac (SI) joint injury, follow up radiographic imaging can demonstrate subchondral bone resorption resembling inflammatory sacroiliitis. No studies have described the incidence of marginal SI post-traumatic osteitis, the probable temporal relationship to the initial traumatic injury, or the possible effect of unilateral hardware fixation on the contralateral SI joint.

Methods: A Level 1 trauma center imaging database was queried to identify patients with pelvic bony trauma between 2005 and 2017 with CT baseline preserved SI cortication and unilateral/bilateral traumatic SI diastasis. Read More

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Coronal Compensation Mechanism of Pelvic Obliquity in Patients With Developmental Dysplasia of the Hip.

Global Spine J 2021 May 5:21925682211010760. Epub 2021 May 5.

NanKai University School of Medicine, Tianjin, China.

Study Design: Descriptive retrospective study.

Objective: DDH is a common lower limb deformity. It has been reported that this deformity can change the sagittal alignment of spine and pelvis. Read More

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A Case of Misdiagnosed Sacroiliac Joint Tuberculosis as Axial Spondyloarthritis.

Pain Pract 2021 May 4. Epub 2021 May 4.

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

A 27-year-old woman presented at a university hospital for right buttock pain (NRS:3) that has progressively increased in severity over 6 months. Patrick and sacral thrust tests elicited pain at the right sacroiliac joint (SIJ). The pelvis AP radiograph was unremarkable and computed tomography (CT) showed subtle focal erosion on the iliac side of the right SIJ (Figure 1). Read More

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Rectus femoris ossification accompanying with sacroiliac joint edema.

Turk J Phys Med Rehabil 2021 Mar 4;67(1):125-126. Epub 2021 Mar 4.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Haydarpaşa Numune Trainign and Research Hospital, Istanbul, Turkey.

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Undifferentiated connective tissue disease presenting with optic neuritis and concomitant axial spondyloarthritis: A rare case report.

Turk J Phys Med Rehabil 2021 Mar 4;67(1):111-114. Epub 2021 Mar 4.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.

Undifferentiated connective tissue disease (UCTD) represents a group of diseases which do not fulfill the criteria of rheumatologic diseases or may be considered as an early stage of any of these diseases. Axial spondyloarthritis (axSpA) is a disease accompanied by symptoms of inflammatory low back pain and peripheral symptoms, with more spine and sacroiliac joint involvement. In this report, we, for the first time, present a case of UCTD presenting with axSpA in whom the initial finding was optic neuritis, which is rarely seen in UCTD. Read More

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Enhancing perioperative landmark detection during sacroiliac joint fusion in patients suffering from low back pain.

Comput Assist Surg (Abingdon) 2021 Dec;26(1):41-48

Department of Surgery, Isala Hospital, Zwolle, The Netherlands.

Over the past decade, minimally invasive sacroiliac joint (SIJ) fusion has become an effective treatment for patients suffering from low back pain (LBP) originating from the SIJ. Perioperative C-arm fluoroscopy-assisted surgical navigation during SIJ fusion remains challenging due to the lack of 3D spatial information. This study developed and assessed a 3D CT/2D fluoroscopy integration approach based on digitally reconstructed radiographs (DRRs) obtained from pre-operative CT scans. Read More

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December 2021

The Sacroiliac Joint as a Cause of Pain - Review of the Sacroiliac Joint Morphology and Models for Pain Genesis.

Z Orthop Unfall 2021 May 3. Epub 2021 May 3.

Orthopaedic, Trauma Surgery and Plastic Surgery Clinic, Leipzig University Clinics, Germany.

Introduction: In recent years, the sacroiliac joint has become increasingly important as a generator of low back pain with and without pseudo-radicular pain in the legs. Up to 27% of reported back pain is generated by disorders in the sacroiliac joint.

Method: This review is based on a selective literature search of the sacroiliac joint (SIJ) as a possible pain generator. Read More

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Systematic review of sacroiliac joint motion and the effect of screw fixation.

Clin Biomech (Bristol, Avon) 2021 Apr 27;85:105368. Epub 2021 Apr 27.

Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States of America; Orthopaedic & Rehabilitation Engineering Center, Marquette University, Milwaukee, WI, United States of America.

Background: Pelvic injuries that disrupt the sacroiliac joints often require surgical intervention to restore stability. Quantitative characterization of sacroiliac motion in response to physiologic loading provides important metrics of adequate fixation in the evaluation of newly emerged fixation techniques. The objective of this study was to systematically review and evaluate biomechanical evidence on the motion of the sacroiliac joint in its normal, destabilized, and stabilized states. Read More

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Treating sacroiliac joint dislocation through percutaneous sacroiliac screw fixation with the aid of 2 fluoroscopes: a novel technique.

Quant Imaging Med Surg 2021 May;11(5):2076-2084

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Background: Percutaneous sacroiliac screw fixation is the standard treatment for sacroiliac joint (SIJ) dislocation. In most hospitals, the procedure is guided by a C-arm X-ray fluoroscopy system, which must be repeatedly repositioned during surgery. In this study, we investigated the feasibility of using 2 fluoroscopes simultaneously. Read More

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Pelvic Reconstruction With a Novel Three-Dimensional-Printed, Multimodality Imaging Based Endoprosthesis Following Enneking Type I + IV Resection.

Front Oncol 2021 13;11:629582. Epub 2021 Apr 13.

West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China.

Background And Purpose: Pelvic tumor involving Type I + IV resections are technically challenging, along with various reconstructions methods presenting unsatisfactory outcomes and high complication rates. Since predominating studies preferred adopting pedicle screw-rod system (PRSS) to address this issue, we designed a novel three-dimensional-printed, multimodality imaging (3DMMI) based endoprosthesis with patient-specific instrument (PSI) assistance to facilitate the surgical reconstruction of pelvic tumor involving Enneking Type I + IV resection. We aimed to investigate the clinical effectiveness of this novel endoprosthesis and compare it with PRSS in Type I + IV reconstruction. Read More

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Minimally Invasive Sacroiliac Fusion Revision: A Technique Guide.

Int J Spine Surg 2021 Apr 1;15(2):274-279. Epub 2021 Apr 1.

Ortho San Antonio, San Antonio, Texas.

Study Design: A retrospective case-series of revision sacroiliac joint (SIJ) fusions.

Objective: To provide a technique guide for revision minimally invasive SIJ fusion.

Summary Of Background Data: SIJ dysfunction is a prevalent, yet underdiagnosed condition. Read More

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Validity and Reliability of Palpatory Clinical Tests of Sacroiliac Joint Mobility: A Systematic Review and Meta-analysis.

J Manipulative Physiol Ther 2021 Apr 22. Epub 2021 Apr 22.

School of Physical Education, Physiotherapy and Dance (ESEFID), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Objective: The primary objective of this review was to investigate the reliability and validity of palpatory clinical tests of sacroiliac mobility. The secondary objective was to investigate which palpatory clinical tests of sacroiliac mobility exist in the literature.

Methods: PubMed, Embase, Scopus, Medline, and the Physiotherapy Evidence Database were searched. Read More

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Patterns of pathologic lymph nodes in anal cancer: a PET-CT-based analysis with implications for radiotherapy treatment volumes.

BMC Cancer 2021 Apr 22;21(1):447. Epub 2021 Apr 22.

Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.

Background: This study investigates the patterns of PET-positive lymph nodes (LNs) in anal cancer. The aim was to provide information that could inform future anal cancer radiotherapy contouring guidelines.

Methods: The baseline [18F]-FDG PET-CTs of 190 consecutive anal cancer patients were retrospectively assessed. Read More

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Computed tomography osteoabsorptiometry-based investigation on subchondral bone plate alterations in sacroiliac joint dysfunction.

Sci Rep 2021 Apr 21;11(1):8652. Epub 2021 Apr 21.

Department of Macroscopic and Clinical Anatomy, Medical University of Graz, Graz, Austria.

Sacroiliac joint dysfunction (SIJD) is an underappreciated source of back pain. Mineralization patterns of the sacroiliac (SIJ) subchondral bone plate (SCB) may reflect long-term adaptations to the loading of the joint. Mineralization densitograms of 27 SIJD patients and 39 controls, were obtained using CT osteoabsorptiometry. Read More

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Quantitative evaluation of the sacroiliac joint fixation in stress reduction on both sacroiliac joint cartilage and ligaments: A finite element analysis.

Clin Biomech (Bristol, Avon) 2021 Apr 18;85:105350. Epub 2021 Apr 18.

Division of Mechanical and Aerospace Engineering, Faculty of Engineering, Hokkaido University, Sapporo, Japan. Electronic address:

Background: The sacroiliac joint fixation is the last resort for patients with prolonged and severe joint pain. Although the clinical results of anterior fixations are conclusive, there exist several inevitable drawbacks with the surgical method such as the difficulty performing the surgery due to the presence of many organs. The posterior fixation technique has thus been developed to overcome those inconveniences. Read More

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Axial and peripheral spondyloarthritis triggered by sars-cov-2 infection: a report of two cases.

Reumatismo 2021 Apr 19;73(1):59-63. Epub 2021 Apr 19.

Division of Rheumatology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut.

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can show musculoskeletal symptoms such as peripheral arthritis. In rare cases, peripheral arthritis can develop after the resolution of SARS-CoV-2. We present two cases of spondyloarthritis induced by SARS-CoV-2; one case with axial and peripheral spondyloarthritis and the other with peripheral spondyloarthritis. Read More

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A Closer Look into the Association between the Sacroiliac Joint and Low Back Pain.

Spartan Med Res J 2021 Apr 13;6(1):21971. Epub 2021 Apr 13.

McLaren Health Care.

Introduction: Low back pain is the most common type of global disability and annually costs the United States over two billion dollars. Opioids have been used to reduce low back pain, although current evidence concerning efficacy is lacking. Sacroiliac joint dysfunction (SIJD) is estimated to be a primary pain source of low back pain in between 10 and 25% of affected patients. Read More

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Successful Resolution of Chronic Testicular Pain With an Impairment-Based Treatment Program: A Case Study With One-Year Follow-Up.

Cureus 2021 Mar 12;13(3):e13850. Epub 2021 Mar 12.

Pain Management, Tripler Army Medical Center, Honolulu, USA.

Chronic testicular pain is a condition commonly experienced by males. Potential causes of testicular pain can be pathology localized within the testicle or referred pain from surrounding tissues or spinal conditions. The diagnostic differential is extensive and can be seen as a diagnosis of exclusion after structural disorders specific to the testicle are ruled out. Read More

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Development and Validation of Three Preliminary MRI Sacroiliac Joint Composite Structural Damage Scores in a 5-year Longitudinal Axial Spondyloarthritis Study.

J Rheumatol 2021 Apr 15. Epub 2021 Apr 15.

Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark; Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Soenderborg, Denmark; Department of Regional Health Research, University of Southern Denmark, Odense, Denmark; Department of Rheumatology, Lillebælt Hospital, Vejle, Denmark; Department of Rheumatology, Aarhus University Hospital, Aarhus, Denmark; Department of Radiology, Herlev and Gentofte Hospital, Copenhagen, Denmark. The source(s) of support in the form of grants or industrial support: The BIOSPA study was conducted without any financial support. The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. The Danish Rheumatism Association supported MW with a PhD fellowship grant (R131- A5381). Address correspondence to Marie Wetterslev Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases Rigshospitalet, Glostrup Valdemar Hansen Vej 17 Email:

Objective: In axial spondyloarthritis (axSpA), sacroiliac joint (SIJ) erosion is often followed by fat metaplasia in an erosion cavity (backfill), and subsequently ankylosis. We aimed to combine Spondyloarthritis Research Consortium of Canada (SPARCC) SIJ Structural score for Erosion, Backfill and Ankylosis into 3 versions of a novel preliminary Composite axSpA MRI SIJ Structural Damage Score (CSDS) and test these.

Methods: Thirty-three axSpA patients followed for 5 years after initiation of tumor necrosis factor inhibitor had MRI of SIJs at baseline, and yearly thereafter. Read More

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