Sacroiliac joint: A review

Tilvawala, Khushali; Kothari, Kailash; Patel, Rupal

doi:10.4103/ijpn.ijpn_18_18

Cited by 8 publications

(3 citation statements)

References 9 publications

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“…[1][2][3][4] Clinical diagnosis of sacroiliitis is difficult because patients have localized or referred pain, usually inferior to the posterior superior iliac spine, mimicking multiple other causes of back pain. 5 Radiograph is sensitive only to chronic disease with altered joint space and subchondral bone changes. Magnetic resonance imaging (MRI) does better evaluation of joint anatomy, marrow, cartilage, subchondral bone, surrounding ligaments, and capsule and is superior in early diagnosis of acute sacroiliitis.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Accuracy of Standalone T2 Dixon Sequence Compared with Conventional MRI in Sacroiliitis

Athira

Cannane

Poyyamoli

et al. 2022

Indian J Radiol Imaging

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Aim The aim of this article was to assess the profile of T2-weighted (T2W) multipoint Dixon sequence and conventional sequences in magnetic resonance imaging (MRI) of sacroiliac joints for the diagnosis of active and chronic sacroiliitis. Settings and Design Prospective observational study. Materials and Methods Thirty-seven patients with sacroiliitis underwent MRI with conventional coronal oblique short tau inversion recovery, T1W sequences, and T2W multipoint Dixon sequences. T1 fat-saturated postcontrast sequences were added in active cases. Comparisons were made between conventional and T2 Dixon sequences both quantitatively and qualitatively. Statistical Analysis Paired t-test was used to study the difference in contrast–noise ratio (CNR) between two groups. Chi-squared analysis with p-value of ≤ 0.05 was used to test the significant association of different sequences. Results Water only images had highest mean CNR (296.35 ± 208.28) for the detection of bone marrow edema/osteitis. T1W (186.09 ± 96.96) and opposed-phase (OP) images (279.22 ± 188.40) had highest mean CNR for the detection of subchondral sclerosis and periarticular fat deposition, respectively. OP images (p-value <0.001) followed by fat-only (FO) images (p-value = 0.001) were superior to T1W sequences in detecting periarticular fat deposition. In-phase (IP) images in detecting subchondral sclerosis and IP and FO images in detecting cortical erosions were comparable to conventional T1W sequences (p-value < 0.001). Conclusions T2 Dixon sequences are superior or comparable to conventional MR sequences in detection of sacroiliitis, except ankylosis. Hence, Dixon can be used as a single sequence to replace the multiple sequences used in conventional imaging protocol of acute sacroiliac joints due to higher image quality. It can be used as an additional sequence in case of chronic sacroiliitis to increase the confidence and accuracy of diagnosis.

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Section: Introductionmentioning

confidence: 99%

“… 1 2 3 4 Clinical diagnosis of sacroiliitis is difficult because patients have localized or referred pain, usually inferior to the posterior superior iliac spine, mimicking multiple other causes of back pain. 5 …”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Standalone T2 Dixon Sequence Compared with Conventional MRI in Sacroiliitis

Athira

Cannane

Poyyamoli

et al. 2022

Indian J Radiol Imaging

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“…he sacroiliac joint (SI) is a complex joint, and it is designed for stability than mobility. Kinematics and kinetics of this joint are more complicated to understand (1). It is one of the lower back's standard pain generators and creates chronic pain (2).…”

Section: Introductionmentioning

confidence: 99%

Effect of Mulligan’s mobilization combined with motor control exercises on pain functional ability and muscle activity in sacroiliac joint dysfunction

Sivakumar¹,

Kamalakannan²,

Kalpana³

et al. 2022

Biomedicine

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Introduction and Aim: Sacroiliac joint dysfunction accounts 15% to 30% 0f low back ache conditions, If the SIJ is hypomobile, it cannot be effectively absorbed forces causing other body parts may be overstressed causing musculoskeletal dysfunction. This study’s aim is to identify the effect of mulligan’s joint mobilization techniques, motor control exercises and, aerobic exercises on pain functional ability and muscle activity in patients with SI joint dysfunction. Methodology: Randomized controlled study was done by selecting patients with SI joint dysfunction. 185 participants with low back pain were evaluated and out of them 116 had positive SI joint dysfunction and 95 were selected based on selection criteria. Computer- assisted randomization was done to divide the participants into three groups. Based on that group I has got 30, group II has 33, and group III has 32. Group I participants underwent Mulligan’s mobilisation for SI joint and followed by motor control exercises, Group II participants underwent motor control exercises and Group III participants underwent Aerobic exercises. All the treatment was given for 45 minutes 5 days per week for 6 weeks of duration. This study uses functional disability, Transverses abdominis muscle endurance, and pain measured using the Oswestry disability index, pressure biofeedback and numerical pain scale respectively. Results: On comparing group I and group II, the group I shows a significant improvement in all the outcomes. The ANOVA results show that the p-value is < .00001. The result is significant at p <0.05. Conclusion: This study concludes that mulligans mobilization with motor control exercises would significantly improve pain, functional disability, and transverses abdominis muscle endurance.

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