Radiological and scintigraphic findings in patients with a clinical history of chronic inflammatory back pain

Autor: Henk Simon Goei The, Albert J. Lemmens, Gerard Goedhard, Henri Lokkerbol, Ali Rahmy, Malcolm M. Steven, Sjef M. van der Linden, Arnold Cats
Rok vydání: 1985
Předmět:
Zdroj: Skeletal Radiology. 14:243-248
ISSN: 1432-2161
0364-2348
DOI: 10.1007/bf00352613
Popis: The prevalence of radiological abnormalities of the sacroiliac joints, the manubriosternal joint, and the lumbar spine were assessed, and quantitative sacroiliac scintigraphy was performed in 151 patients with a history of chronic inflammatory back pain and in 31 controls with non-inflammatory back pain. Sacroiliitis was found in 124 patients (82%), manubriosternal lesions in 84 patients (56%), and lesions of the lumbar spine in 58 patients (38%). In 19 patients (13%), manubriosternal lesions provided the sole radiological abnormality and in five patients (3%) no radiological abnormality could be demonstrated at any of these sites. Quantitative sacroiliac scintigraphy showed increased values in 69 of 137 patients examined (50%), but also in 10 out of 12 control patients with disc degeneration (83%) and is, therefore, nonspecific for inflammatory lesions. Radiological examination of the manubriosternal joint is recommended in patients with inflammatory back pain without radiographic evidence of sacroiliitis.
Databáze: OpenAIRE