Is sacroiliac joint pain associated with changes in the pubic symphysis? A radiographic pilot study

被引：4
作者：
Becker S. [1 ]
Capobianco R. [2 ]
Seita M. [3 ]
机构：
[1] Institute for Musculoskeletal Analysis, Research and Therapy, Piaristengasse 2-4, Vienna
[2] SI-BONE, Inc., 3055 Olin Ave, Suite 2200, San Jose, 95128, CA
[3] Palma Clinic, Cami dels reis 308, Palma de Mallorca
来源：
European Journal of Orthopaedic Surgery & Traumatology | 2015年 / 25卷 / Suppl 1期
关键词：
Osteoarthritic degeneration; Pelvic kinematics; Pubic symphysis; Radiographs; Sacroiliac joint;
D O I：
10.1007/s00590-014-1575-0
中图分类号：
学科分类号：
摘要：
Background context: Disorders of the sacroiliac joint are challenging to diagnose. This is partially due to similarity in symptom presentation to other lumbar spinal disorders and poor visibility of the joint on imaging studies. The pubic symphysis is clearly visualized in the anteroposterior view on plain film radiographs. As a closed ring, changes in the anterior and posterior portion of the pelvis may be reciprocal. The purpose of this study was to assess the correlation between pubic symphyseal changes observed on X-ray and SI joint disorders. Methods: Thirty patients with a confirmed diagnosis of SI joint disorders were compared with 30 patients with low back pain without the evidence of SI joint involvement. Plain film radiographs were blinded and independently reviewed by two orthopedic surgeons. Changes in the pubic symphysis were classified as (0) no change, (1) osteoarthritic degeneration, (2) vertical displacement, or (3) ligament ossification. Results: There was no significant difference between groups in age, gender, or parturition status. The majority of both groups were female. Mean (±SD) subject age was 61 (±11) and 59 (±9) years, and parity was 44 % and 39 % for the study and control groups, respectively. The prevalence of observable changes in the pubic symphysis was 97 % in the study group and 30 % in the control group (p < 0.001). Conclusion: Results of this study suggest that pubic symphyseal changes in the presence of low back pain and positive provocative maneuvers could serve as a marker for SI joint disease. Further investigation of the potential relationship between SI joint symptoms and symphyseal changes should be examined. © 2014, Springer-Verlag France.
引用
收藏
页码：243 / 249
页数：6
相关论文
共 21 条
  • [1] Vleeming A., Movement, stability, and low back pain: the essential role of the pelvis, (1997)
  • [2] Becker I., Woodley S.J., Stringer M.D., The adult human pubic symphysis: a systematic review: the pubic symphysis, J Anat, 217, pp. 475-487, (2010)
  • [3] Forst S.L., Wheeler M.T., Fortin J.D., Vilensky J.A., The sacroiliac joint: anatomy, physiology and clinical significance, Pain Physician, 9, pp. 61-67, (2006)
  • [4] McLauchlan G.J., Gardner D.L., Sacral and iliac articular cartilage thickness and cellularity: relationship to subchondral bone end-plate thickness and cancellous bone density, Rheumatol Oxf Engl, 41, pp. 375-380, (2002)
  • [5] Puhakka K.B., Boel L.W., Vesterby A., Et al., MR imaging of the normal sacroiliac joint with correlation to histology, Skeletal Radiol, 33, pp. 15-28, (2004)
  • [6] Foley B.S., Buschbacher R.M., Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment, Am J Phys Med Rehabil Assoc Acad Physiatr, 85, pp. 997-1006, (2006)
  • [7] Indahl A., Holm S., Vleeming A., Mooney V., Stoeckart R., The sacroiliac joint: sensory-motor control and pain, Movement, stability & lumbopelvic pain: integration of research and therapy, pp. 103-111, (2007)
  • [8] Goode A., Hegedus E.J., Sizer P., Et al., Three-dimensional movements of the sacroiliac joint: a systematic review of the literature and assessment of clinical utility, J Man Manip Ther, 16, pp. 25-38, (2008)
  • [9] Vleeming A., van Wingerden J.P., Dijkstra P.F., Et al., Mobility in the sacroiliac joints in the elderly: a kinematic and radiologic study, Clin Biomech, 7, pp. 170-176, (1992)
  • [10] Szadek K.M., van der Wurff P., van Tulder M.W., Et al., Diagnostic validity of criteria for sacroiliac joint pain: a systematic review, J Pain, 10, pp. 354-368, (2009)
123