Fluoroscopy-guided Intra-articular Sacroiliac Joint Steroid Injection for Sacroiliitis in Ankylosing Spondylitis: A Case Report
| Autor: | NA Dewar, Pua Dawson, D Tulloch-Reid |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Sacroiliac joint
musculoskeletal diseases medicine.medical_specialty Ankylosing spondylitis Groin medicine.diagnostic_test business.industry Radiography Sacroiliitis Case Report General Medicine medicine.disease Low back pain Surgery Oswestry Disability Index medicine.anatomical_structure Physical therapy Medicine Fluoroscopy medicine.symptom business |
| Zdroj: | The West Indian medical journal. 63(1) |
| ISSN: | 0043-3144 |
| Popis: | Sacroiliitis, a condition commonly seen in Ankylosing Spondylitis, is well known to be one of the main pain generators of low back pain, which may result in difficulty with walking. A 20-year old male with history of ankylosing spondylitis presented to the University Hospital of the West Indies, Physical Medicine and Rehabilitation clinic, with a two-year history of right buttock, low back and groin pain. Radiographic evaluation revealed increased sclerosis and erosive changes in bilateral sacroiliac joints, right greater than left. Right intra-articular sacroiliac joint steroid injection was administered under fluoroscopy guidance. Post-injection visual analogue pain scale (VAS) score with activity improved from 8 to 1 and Oswestry Disability Index improved from 40% moderate disability to 16% minimal disability. The patient's overall assessment was 95% perceived improvement in pain. This case report illustrates the effectiveness of intra-articular sacroiliac joint steroid injection in treating sacroiliitis in ankylosing spondylitis. |
| Databáze: | OpenAIRE |
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