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Hip Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
The Sacroiliac joint is the articulation of the sacrum and the ilium. The bones are tethered together by strong ligaments just like other joints. There are two joints, one on each side of the sacrum. Both joints are generally considered as an immovable joint.
Musculoskeletal trauma
Published in Ian Greaves, Keith Porter, Chris Wright, Trauma Care Pre-Hospital Manual, 2018
Ian Greaves, Keith Porter, Chris Wright
Vertical shear injuries can occur when the patient falls from height, landing on one foot. Force is transmitted along the leg, through the acetabulum. A moment is created and the contralateral hemipelvis rotates around the fixed point as it continues to ‘fall’. This causes sacroiliac joint disruption, which can be severe. There is a high risk of neurovascular damage, with exsanguination from torn vessels and long-term injury to sciatic and possibly femoral nerves.
The disease: chronic myofascial pain
Published in Kirsti Malterud, Steinar Hunskaar, Chronic Myofascial Pain, 2018
Kirsti Malterud, Steinar Hunskaar
Many patients with myofascial pain complain about chest pains, and therefore ankylosing spondylitis (AS) should also be considered. AS is usually diagnosed before the age of 40 years, and there is a male predominance. The dominant symptom of AS is low back pain at night and early in the morning improved by light exercise, in addition to chest pain with limited chest expansion. The diagnosis is verified by x-ray examination of the sacroiliac joints.
Diagnostic efficacy of ultrasound detection of enthesitis in peripheral spondyloarthritis
Published in Modern Rheumatology, 2020
Keita Fujikawa, Shin-ya Kawashiri, Yushiro Endo, Akinari Mizokami, Toshiaki Tsukada, Masanobu Mine, Masataka Uetani, Atsushi Kawakami
The clinical manifestations assessed included past medical history, symptoms, and physical examination at baseline. Laboratory investigations at baseline included human leukocyte antigen (HLA)-typing and levels of C-reactive protein (CRP), rheumatoid factor (RF), and anti-citrullinated protein antibody. X-ray of the sacroiliac joint (SIJ) and spine were examined. On X-ray, sacroiliitis was defined according to the modified New York criteria [14], whereas a syndesmophyte was defined as a score >2 (obvious syndesmophyte) on the modified Stoke Ankylosing Spondylitis Spinal Score [15]. In cases where radiographic sacroiliitis was doubtful or there IBP was persistent, magnetic resonance imaging (MRI) of the SIJs was performed. On MRI, sacroiliitis was defined according to the Assessment of SpondyloArthritis international Society (ASAS) criteria for axial SpA [10,16]. The MRI of SIJs was assessed by MU, an expert radiologist. Whether patients fulfilled criteria including the Amor [17], the European Spondyloarthropathy Study Group (ESSG) [18], the ASAS criteria for axial and peripheral SpA [10,16,19], and the modified New York criteria were also assessed. These data were retrospectively extracted and verified by KF, YE, and AM.
Lumbopelvic Fixation Versus Novel Adjustable Plate for Sacral Fractures: A Retrospective Comparative Study
Published in Journal of Investigative Surgery, 2020
Ruipeng Zhang, Yingchao Yin, Shilun Li, Ao Li, Zhiyong Hou, Yingze Zhang
It was reported that unilateral lumbopelvic fixation could provide adequate stability for sacral fractures [13, 20, 24]. Then, fixation failure was not observed in the patients fixed with lumbopelvic technique. A biomechanical study demonstrated that both vertical and torsional stability of Tile C pelvic fractures could be obtained through novel adjustable plate fixation [25]. For the patients associated with sacral fractures, the stability of sacroiliac joint may be maintained because major traumatic energy was imposed on sacrum and there were lots of powerful ligaments (including anterior and posterior sacroiliac ligaments) surrounding the sacroiliac joint. Disruption of sacroiliac joint was not observed in the patient presented in Figure 5. Thus, the reduction force imposed on PSISs could transmit to fracture sites via sacroiliac joint. For the patients with comminuted fragments in sacral wing, screw insertion in sacrum was not recommended to avoided secondary displacement and screw misplacement. Thus, screw fixation was not involved in sacrum bilaterally. The stability of posterior pelvic ring was restored and maintained by the inserted device (bilayer cortical screw fixation), bilateral sacroiliac joints and surrounding ligaments. Thus, fixation failure was not observed.
Genotype-Phenotype Association Study Reveals CFI-Rs13104777 to be a Protective Genetic Marker Against Acute Anterior Uveitis
Published in Ocular Immunology and Inflammation, 2018
Xiu-Feng Huang, Dan Lin, Keng-Hung Lin, Shi-Huang Lee, Xiaoru Xia, Yi-Mai Yang, Xue-Fei Zhu, Yu-Lin Wang, Ma-Li Dai, Qing-Feng Wang, Zi-Bing Jin, Yuqin Wang
This study included a total of 279 AAU patients and 296 healthy controls. All participants were Han Chinese adults. All AAU patients met the inclusion criteria, based on the Standardization Uveitis Nomenclature classification of AAU. Clinical AAU diagnosis was based on slit-lamp biomicroscopic estimation of anterior chamber inflammation, which had to have a sudden onset and resolve in <12 weeks. AS was diagnosed by computed tomography (CT) scans of the sacroiliac joint.14 Patients were excluded if their AAU was secondary to infections or other specific syndromes, including Posner–Schlossman syndrome, Vogt–Koyanagi–Harada, and Behçet disease. In total, 296 individuals aged >60 years, with no evidence of systemic immune-related disorders and/or eye disease except senile cataract, were recruited as controls. This study was conducted according to protocols approved by the ethics committee of the Eye Hospital of Wenzhou Medical University, and adhered to the tenets of the Declaration of Helsinki. All participants provided written informed consent to become enrolled.