Inciting Events Initiating Injection-Proven Sacroiliac Joint Syndrome
| Autor: | Larry H. Chou, Atul L Bhat, Russell V Gilchrist, Larissa Tsaur, Curtis W. Slipman, Sarjoo M. Bhagia, Omar El Abd, David A. Lenrow, Zacharia Isaac |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Injections Intra-Articular Cohort Studies medicine Humans Buttocks Pelvis Aged Pain Measurement Retrospective Studies Sacroiliac joint Analgesics business.industry Arthritis Sacroiliac Joint Retrospective cohort study Buttock Pain General Medicine Middle Aged Low back pain Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Fluoroscopy Inclusion and exclusion criteria Physical therapy Female Neurology (clinical) medicine.symptom business Low Back Pain Postpartum period |
| Zdroj: | Pain Medicine. 5:26-32 |
| ISSN: | 1526-4637 1526-2375 |
| DOI: | 10.1111/j.1526-4637.2004.04009.x |
| Popis: | Objective. To determine the inciting events leading to the development of sacroiliac joint syndrome (SIJS). Methods. This was a retrospective descriptive cohort series from an academic interdisciplinary spine center. Consecutive patients presenting with low back or buttock pain with or without leg symptoms who met specific inclusion and exclusion criteria for the diagnosis of SIJS were included in the study. Inciting events leading to the development of SIJS in these patients were categorized into traumatic, cumulative, and idiopathic events. Results. Of 194 patients who were included in the study, 54 patients had symptom resolution with one or more therapeutic intraarticular sacroiliac joint injections, following a positive diagnostic injection. Those patients were given the diagnosis of SIJS. Of these, 24 (44%) had had a traumatic event (13 motor vehicle accidents, six falls onto the buttock, three immediately postpartum, one severe football tackle, and one pelvis fracture). Eleven (21%) patients were considered to have a cumulative injury (four lifting, two running, three altered gait due to lower extremity disorder, one crew training injury, and one forceful hip extension injury). Nineteen (35%) patients had spontaneous or idiopathic onset of sacroiliac joint pain. Conclusion. SIJS can occur following a traumatic event or cumulative shear events, or can occur spontaneously. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|