Imaging the Patient with Sacroiliac Pain

Canadian Association of Radiologists Journal - Tập 67 - Trang 41-51 - 2016
Hong Kuan Kok1, Aizad Mumtaz2, Ciara O'Brien1, David Kane2, William C. Torreggiani1, Holly Delaney1
1Department of Radiology, Tallaght Hospital, Dublin, Ireland
2Department of Rheumatology, Tallaght Hospital, Dublin, Ireland

Tóm tắt

Sacroiliac (SI) region pain is a common clinical presentation and is often due to pathology involving the SI joints, usually of inflammatory, infective, neoplastic, or post-traumatic etiology. The SI joints have a unique anatomic layout and composition and can be imaged with a variety of techniques including conventional radiographs, computed tomography, isotope bone scintigraphy, and magnetic resonance imaging. This article reviews a range of common SI joint conditions, illustrated by multimodality imaging findings. We also discuss strategies for choosing the optimal imaging modality, pearls, and pitfalls of imaging and discuss an algorithm for approaching the patient with suspected inflammatory back pain.

Tài liệu tham khảo

10.1053/j.tvir.2009.06.009 10.1186/1471-2482-13-52 Braun J., 2000, Clin Rheumatol, 19, 51 10.1055/s-0034-1375569 10.2214/AJR.05.1423 10.3899/jrheum.130141 10.1007/s00256-003-0691-4 10.1002/art.1780270401 10.1097/RCT.0000000000000107 10.1007/s002560000242 10.1002/art.10934 10.1007/s00296-010-1440-3 10.1016/j.ejrad.2009.04.034 10.1016/S0049-0172(96)80010-2 10.1016/j.ejrad.2013.10.001 10.1007/s00296-009-1100-7 10.1007/BF00202696 10.1007/s00256-008-0555-z Finiels H., 1997, Presse Med, 26, 1568 10.2214/ajr.174.2.1740417 10.2214/ajr.154.4.2107674 10.1001/jama.1977.03270510035017 Molto A., 2013, Arthritis Care Res (Hoboken), 65, 1472, 10.1002/acr.22016 10.1136/annrheumdis-2012-201884 10.1136/ard.2009.108217