Diagnosis and treatment of sacroiliac joint pain

被引:9
作者
Sembrano, Jonathan N. [1 ]
Reiley, Mark A. [2 ]
Polly, David W., Jr. [3 ]
Garfin, Steven R. [4 ]
机构
[1] Univ Minnesota, Sch Med, Minneapolis VA Med Ctr, Minneapolis, MN USA
[2] Berkeley Orthopaed Med Grp Inc, Berkeley, CA USA
[3] Univ Minnesota, Sch Med, Minneapolis, MN USA
[4] Univ Calif San Diego, La Jolla, CA USA
来源
CURRENT ORTHOPAEDIC PRACTICE | 2011年 / 22卷 / 04期
关键词
low back pain; sacroiliac joint fusion; sacroiliac joint pain;
D O I
10.1097/BCO.0b013e31821f4dba
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Low back pain is the most common type of adult pain and is a leading cause of disability. While this complaint may be ubiquitous, there are many possible causes. Studies have shown that the sacroiliac joint is the cause in approximately 15% of patients with low back pain. The exact pattern is complex. Provocative physical examination maneuvers may help provide a presumptive sacroiliac joint pain diagnosis. Confirmatory diagnosis is achieved with diagnostic injection. For disabling pain that fails to respond to non-operative treatment, surgical fusion may be necessary; different fusion approaches have been described and are presented.
引用
收藏
页码:344 / 350
页数:7
相关论文
共 47 条
[41]   PATIENT OUTCOMES AFTER LUMBAR SPINAL FUSIONS [J].
TURNER, JA ;
ERSEK, M ;
HERRON, L ;
HASELKORN, J ;
KENT, D ;
CIOL, MA ;
DEYO, R .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (07) :907-911
[42]   Clinical tests of the sacroiliac joint - A systematic methodological review. Part 1: Reliability [J].
van der Wurff, P ;
Hagmeijer, RHM ;
Meyne, W .
MANUAL THERAPY, 2000, 5 (01) :30-36
[43]   A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures [J].
van der Wurff, P ;
Buijs, EJ ;
Groen, GJ .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2006, 87 (01) :10-14
[44]   Clinical tests of the sacroiliac joint - A systematic methodological review. Part 2: Validity [J].
van der Wurff, P ;
Meyne, W ;
Hagmeijer, RHM .
MANUAL THERAPY, 2000, 5 (02) :89-96
[45]   Clinical diagnostic tests for the sacroiliac joint: motion and palpation tests - Commentary [J].
van der Wurff, Peter .
AUSTRALIAN JOURNAL OF PHYSIOTHERAPY, 2006, 52 (04) :308-308
[46]   Histologic analysis of neural elements in the human sacroiliac joint [J].
Vilensky, JA ;
O'Connor, BL ;
Fortin, JD ;
Merkel, GJ ;
Jimenez, AM ;
Scofield, BA ;
Kleiner, JB .
SPINE, 2002, 27 (11) :1202-1207
[47]   THE NORMAL SACROILIAC JOINT - A CT STUDY OF ASYMPTOMATIC PATIENTS [J].
VOGLER, JB ;
BROWN, WH ;
HELMS, CA ;
GENANT, HK .
RADIOLOGY, 1984, 151 (02) :433-437