Diagnosis of Sacroiliac Joint Syndrome

Authors

  • Ya.V. Fishchenko State Institution «Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
  • I.I. Bila State Institution «Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine
  • A.P. Kudrin State Institution «Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-1507.4.24.2016.94622

Keywords:

sacroiliac joints, diagnostic tests, differential diagnosis of pain syndromes

Abstract

Background. Sacroiliac joints are the cause of pain syndromes in 15–30 % of patients, who complained of pain in lumbosacral spine. In this connection, the relevant issue is the differential diagnosis of pain syndromes in the sacroiliac joint with discogenic, arthrogenic and myofascial pain syndromes. The aim of the study was to assess the informativeness of different diagnostic tests during the diagnosis of sacroiliac pain syndromes, either alone or in combination, using as a verifying procedure the diagnostic block with local anesthetic performed under X-ray control. Materials and methods. We have observed 90 patients aged from 30 to 78 years with one- or two-sided pain syndrome in the lumbosacral spine, with or without irradiation in the lower limb, its duration was more than 2 months. Results. The highest sensitivity was observed in Gaenslen’s test (83 %) as compared to other tests with lower overdiagnosis (73 %). The positive predictive value of this test was equal to 79 %. Conclusions. Tests in combination with diagnostic block can effectively diagnose the pathology of sacroiliac joint and differentiate it from discogenic or arthrogenic pathology of the lumbar spine and degenerative diseases of the hip joints.

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References

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Published

2021-09-24

How to Cite

Fishchenko, Y., Bila, I., & Kudrin, A. (2021). Diagnosis of Sacroiliac Joint Syndrome. PAIN, JOINTS, SPINE, (4.24), 18–23. https://doi.org/10.22141/2224-1507.4.24.2016.94622

Issue

Section

Practical Medicine