The role of intraarticular injecton in diagnosis and treatment of sacroiliac joint dysfunction
Journal of Musculoskeletal Pain, cilt.15, sa.3, ss.57-63, 2007 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 3
- Basım Tarihi: 2007
- Doi Numarası: 10.1300/j094v15n03_08
- Dergi Adı: Journal of Musculoskeletal Pain
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.57-63
- Anahtar Kelimeler: sacroiliac joint, dysfunction, diagnosis, injection, treatment
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To evaluate the efficacy of intraarticular injection for the diagnosis and treatment of sacroiliac joint dysfunction [SID]. Methods: Three hundred and fifty patients with chronic low back pain [LBP] were evaluated for this study. After detailed examination, 37 patients [two patients had bilateral SID] who had four positive provocation tests, whose pain were thought to be purely due to SID, and who had visual anolog scale [VAS] values greater than 4 were assigned to sacroiliac joint injection under flouroscopic guidance to reach the diagnostic and therapeutic goal. The intensity of pain was scored using VAS and LBP was assessed with Oswestry Disability Index [ODI] just before the injection, after two hours, and after a one-month follow-up period. Results: The patients group consisted of 27 women and 10 men [mean age 31.63 ± 7.43 years]. Sixteen of 37 patients to whom diagnostic injection was performed gave positive responses [Group 1] and 21 did not [Group 2]. There was no significant difference between pre-injection VAS scores of the groups [P > 0.05]. Significant difference was observed between post-injection VAS scores of the groups [P < 0.001]. Significant decrease was found between pre- and post-injection VAS values of Group 2 [P < 0.001]. One month after injection, significant decrease [P < 0.001] was found in mean VAS score of Group 2 as compared to their pre-injection mean VAS value. Conclusion: Sacroiliac joint dysfunction is a syndrome of which the diagnosis and therapy is not clearly established. We consider intraarticular injection necessary for the diagnosis and treatment of SID. Copyright © by The Haworth Press, Inc. All rights reserved.