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https://www.readbyqxmd.com/read/29143113/percutaneous-ct-guided-sacroiliac-joint-sampling-for-infection-aspiration-biopsy-and-technique
#1
David Knipp, F Joseph Simeone, Sandra B Nelson, Ambrose J Huang, Connie Y Chang
OBJECTIVE: To evaluate methods of CT-guided sacroiliac joint sampling in patients with suspected infection. MATERIALS AND METHODS: All CT-guided sacroiliac joint sampling procedures for suspected infection were reviewed for sampling type (aspiration, lavage aspiration, biopsy), microbiology results, and clinical and imaging follow-up. The primary gold standard was anatomic pathology. If pathology was not available, then positive blood culture with the same organism as SIJ sampling, imaging and clinical follow-up, or clinical follow-up only were used...
November 15, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29116387/-imaging-of-the-sacroiliac-joints
#2
REVIEW
X Baraliakos, M Fruth, J Braun
The sacroiliac joints (SIJ) are an important part of the axial skeleton and a main area to consider in the examination of back pain both clinically and on imaging. Patients with inflammatory-rheumatic symptoms as well as those with other diagnoses may present with pathological changes in the SIJ even at young ages. Although imaging of the SIJ is not the only factor in approaching the final diagnosis, it nevertheless provides a lot of important information about differential diagnoses, thereby enabling certain causes of back pain to be excluded...
November 7, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/29093157/sacroiliac-joint-magnetic-resonance-imaging-in-asymptomatic-patients-with-recurrent-acute-anterior-uveitis-a-proof-of-concept-study
#3
Thauana L Oliveira, Walter P Maksymowych, Robert G W Lambert, Cristina Muccioli, Artur R C Fernandes, Marcelo M Pinheiro
OBJECTIVE: Our aim was to quantify bone marrow edema (BME) and/or structural lesions in the sacroiliac joints (SIJ) of patients with recurrent acute anterior uveitis (rAAU) with or without back pain, to evaluate the frequency of axial (axSpA) and peripheral spondyloarthritis (pSpA) and to establish which criterion for magnetic resonance imaging (MRI) positivity best reflected the global assessment of SIJ MRI. METHODS: A total of 50 patients with rAAU without prior rheumatologic diagnosis were included in our cross-sectional study, and these patients were compared to 21 healthy volunteers...
November 1, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/29067775/dual-phase-hybrid-18-f-fluoride-positron-emission-tomography-mri-in-ankylosing-spondylitis-investigating-the-link-between-mri-bone-changes-regional-hyperaemia-and-increased-osteoblastic-activity
#4
Lino M Sawicki, Susanne Lütje, Xenofon Baraliakos, Jürgen Braun, Julian Kirchner, Johannes Boos, Philipp Heusch, Verena Ruhlmann, Ken Herrmann, Lale Umutlu, Harald H Quick, Gerald Antoch, Christian Buchbender
INTRODUCTION: Focal (18) F-Fluoride uptake on blood-pool phase PET represents regional hyperaemia, while it indicates osteoblastic activity on mineralization phase PET. This study investigates the link between regional hyperaemia and osteoblastic activity in inflammatory and chronic lesions of ankylosing spondylitis (AS) of the sacroiliac joints (SIJ) using dual-phase (18) F-Fluoride PET/MRI. METHODS: Thirteen patients (six men, seven women, age: 37 ± 10 years) with active AS prospectively underwent dual-phase (18) F-Fluoride PET/MRI...
October 25, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/29065931/relevance-of-structural-damage-in-the-sacroiliac-joints-for-the-functional-status-and-spinal-mobility-in-patients-with-axial-spondyloarthritis-results-from-the-german-spondyloarthritis-inception-cohort
#5
Mikhail Protopopov, Joachim Sieper, Hildrun Haibel, Joachim Listing, Martin Rudwaleit, Denis Poddubnyy
BACKGROUND: Functional status and spinal mobility in patients with axial spondyloarthritis (axSpA) are known to be determined both by disease activity and by structural damage in the spine. The impact of structural damage in the sacroiliac joints (SIJ) on physical function and spinal mobility in axSpA has not been studied so far. The objective of the study was to analyze the impact of radiographic sacroiliitis on functional status and spinal mobility in patients with axSpA. METHODS: In total, 210 patients with axSpA were included in the analysis...
October 24, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29058134/distraction-arthrodesis-of-the-sacroiliac-joint-2-year-results-of-a-descriptive-prospective-multi-center-cohort-study-in-171-patients
#6
Volker Fuchs, Benjamin Ruhl
PURPOSE: The aim of the given study was to evaluate the long-term outcomes of patients undergoing sacroiliac joint (SIJ) distraction arthrodesis to treat SIJ-related pain. METHODS: Descriptive prospective multi-center cohort study involving 20 hospitals in Germany. Between January 2011 and June 2012, 171 patients with chronic SIJ pain underwent indirect arthrodesis of the SIJ using a distraction implant. The patients were questioned prior to surgery, 6-weeks, and 3-, 6-, 12- and 24-months postoperatively...
October 20, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29057492/qtc-prolongation-during-ciprofloxacin-and-fluconazole-combination-therapy-prevalence-and-associated-risk-factors
#7
Florine A Berger, Nico Monadian, Natasja M S de Groot, Bart Santbergen, Heleen van der Sijs, Matthijs L Becker, Annoek E C Broers, Teun van Gelder, Patricia M L A van den Bemt
AIM (S): Ciprofloxacin and fluconazole combination therapy is frequently used as prophylaxis for and treatment of infections in patients with haematological malignancies. However, both drugs are known to prolong the QTc-interval, which is a serious risk factor for Torsade de Pointes (TdP). Therefore, the aim of this study was to assess the prevalence of QTc-prolongation during ciprofloxacin and fluconazole use. The secondary objective was to determine associated risk factors of QTc-prolongation in these patients...
October 22, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28970213/evaluation-of-the-change-in-structural-radiographic-sacroiliac-joint-damage-after-2-years-of-etanercept-therapy-embark-trial-in-comparison-to-a-contemporary-control-cohort-desir-cohort-in-recent-onset-axial-spondyloarthritis
#8
Maxime Dougados, Walter P Maksymowych, Robert Bm Landewé, Anna Moltó, Pascal Claudepierre, Manouk de Hooge, Robert G Lambert, Randi Bonin, Jack F Bukowski, Heather E Jones, Isabelle Logeart, Ron Pedersen, Annette Szumski, Bonnie Vlahos, Désirée van der Heijde
OBJECTIVE: To compare 2 years of radiographic sacroiliac joint (SIJ) changes in patients with recent onset axial spondyloarthritis (axSpA) receiving etanercept in a clinical trial (EMBARK) to similar patients not receiving biologics in a cohort study (DESIR). METHODS: Endpoints were changes at week 104 per the modified New York (mNY) grading system in total SIJ score (primary endpoint) and net percentage of patients with progression defined three ways. Treatment effect was analysed with and without adjustment for baseline covariates...
September 29, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28970212/modification-of-structural-lesions-on-mri-of-the-sacroiliac-joints-by-etanercept-in-the-embark-trial-a-12-week-randomised-placebo-controlled-trial-in-patients-with-non-radiographic-axial-spondyloarthritis
#9
Walter P Maksymowych, Stephanie Wichuk, Maxime Dougados, Heather E Jones, Ron Pedersen, Annette Szumski, Lisa Marshall, Jack F Bukowski, Robert G Lambert
OBJECTIVE: To evaluate the impact on structural lesions observed on MRI in the sacroiliac joints (SIJ) at 12 weeks in patients with non-radiographic axial spondyloarthritis (nr-axSpA) receiving etanercept or placebo in EMBARK (Effect of Etanercept on Symptoms and Objective Inflammation in nr-axSpA, a 104 week study). METHODS: Patients were randomised to double-blind etanercept 50 mg/week or placebo for 12 weeks. Structural lesions at baseline and 12 weeks were scored by two independent readers using the Spondyloarthritis Research Consortium of Canada (SPARCC) SIJ structural score (SSS) on T1-weighted MRI...
September 29, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28966208/development-and-validation-of-mri-sacroiliac-joint-scoring-methods-for-the-semiaxial-scan-plane-corresponding-to-the-berlin-and-sparcc-mri-scoring-methods-and-of-a-new-global-mri-sacroiliac-joint-method
#10
Pernille Hededal, Mikkel Østergaard, Inge Juul Sørensen, Anne Gitte Loft, Jens S Hindrup, Gorm Thamsborg, Karsten Asmussen, Oliver Hendricks, Jesper Nørregaard, Jakob M Møller, Anne Grethe Jurik, Lone Morsel, Lone Balding, Susanne Juhl Pedersen
OBJECTIVE: To develop semiaxial magnetic resonance imaging (MRI) scoring methods for assessment of sacroiliac joint (SIJ) bone marrow edema (BME) in patients with axial spondyloarthritis, and to compare the reliability with equivalent semicoronal scoring methods. METHODS: Two semiaxial SIJ MRI scoring methods were developed based on the principles of the semicoronal Berlin and Spondyloarthritis Research Consortium of Canada (SPARCC) methods. A global quadrant-based method was also developed...
October 1, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28955496/relationships-between-ultrasound-enthesitis-disease-activity-and-axial-radiographic-structural-changes-in-patients-with-early-spondyloarthritis-data-from-desir-cohort
#11
Adeline Ruyssen-Witrand, Bénédicte Jamard, Alain Cantagrel, Delphine Nigon, Damien Loeuille, Yannick Degboe, Arnaud Constantin
BACKGROUND: To search for association between ultrasound (US) enthesis abnormalities and disease activity, spine and sacro-iliac joints (SIJ) MRI inflammatory lesions and spine structural changes in a cohort of patients suspected for axial spondyloarthritis (SpA). METHODS: Patients: Of 708 patients included in the DESIR(Devenir des Spondyloarthrites Indifférenciées Récentes) cohort, 402 had an US enthesis assessment and were selected for this study. Imaging: Achilles, lateral epicondyles, superior patellar ligament, inferior patellar ligament entheses were systematically US scanned and abnormalities were summed in US structural and power Doppler (PDUS) scores...
2017: RMD Open
https://www.readbyqxmd.com/read/28934785/1-year-results-of-a-randomized-controlled-trial-of-conservative-management-vs-minimally-invasive-surgical-treatment-for-sacroiliac-joint-pain
#12
Julius Dengler Dengler, Djaya Kools, Robert Pflugmacher, Alessandro Gasbarrini, Domenico Prestamburgo, Paolo Gaetani, Eddie van Eeckhoven, Daniel Cher, Bengt Sturesson
BACKGROUND: Low back pain (LBP) emanating from the sacroiliac joint (SIJ) is a common finding. Devices to fuse the SIJ are now commercially available, but high-quality evidence supporting their effectiveness is limited. OBJECTIVES: To compare the safety and effectiveness of conservative management (CM) to minimally invasive sacroiliac joint fusion (SIJF) in patients with chronic LBP originating from the SIJ. STUDY DESIGN: Prospective, multicenter randomized controlled trial...
September 2017: Pain Physician
https://www.readbyqxmd.com/read/28922873/long-term-reduction-of-sacroiliac-joint-pain-with-peripheral-nerve-stimulation
#13
Marin Guentchev, Christian Preuss, Rainer Rink, Levente Peter, Martin H M Sailer, Jochen Tuettenberg
BACKGROUND: We recently demonstrated that 86% of the patients treated with peripheral nerve stimulation (PNS) for therapy-refractory sacroiliac joint (SIJ) pain were satisfied with the result after 1 year of treatment. OBJECTIVE: To investigate the long-term (up to 4 years) response rate of this novel treatment. METHODS: Sixteen consecutive patients with therapy-refractory SIJ pain were treated with PNS and followed for 4 years in 3 patients, 3 years in 6 patients, and 2 years in 1 patient...
October 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28905097/color-doppler-and-spectral-doppler-ultrasound-detection-of-active-sacroiliitis-in-spondyloarthritis-compared-to-physical-examination-as-gold-standard
#14
Concepción Castillo-Gallego, Eugenio De Miguel, Miriam García-Arias, Chamaida Plasencia, Leticia Lojo-Oliveira, Emilio Martín-Mola
Sacroiliac joint (SIJ) involvement is a distinctive feature of spondyloarthritis (SpA). The main objective of this study was to assess the validity of color Doppler ultrasound (CDUS) in SIJ. This was a cross-sectional, blinded, case-control study of 108 cases divided into three groups: (a) 53 SpA patients with inflammatory back pain (IBP); (b) 28 SpA patients with no IBP; and (c) 27 healthy mechanical lumbar pain subjects. Physical examinations of the SIJs were assessed as positive or negative in each SIJ and were used as the gold standard...
December 2017: Rheumatology International
https://www.readbyqxmd.com/read/28902756/sacroiliac-joint-dysfunction-in-the-athlete-diagnosis-and-management
#15
Rebecca Peebles, Christopher E Jonas
Sacroiliac joint (SIJ) dysfunction is a common cause of low back pain in the athlete, especially in sports with repetitive, asymmetric loading. Complex anatomy and broad pain referral pattern make diagnosis difficult. Identifying three or more positive physical examination maneuvers for the SIJ improves examination sensitivity and specificity. Imaging is rarely helpful in establishing the diagnosis but is often used to rule out other pathology. Conservative management with activity modification, medication, physical therapy, manipulation and bracing is first line treatment...
September 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28878511/management-of-the-open-book-apc-ii-pelvis-survey-results-from-pelvic-and-acetabular-surgeons-in-the-united-kingdom
#16
James R Gill, Colin Murphy, Ben Quansah, Andrew Carrothers
The results of this questionnaire show that the opinion of pelvic and acetabular surgeons in the UK and Republic of Ireland vary as to the best method of fixation for APC II pelvic injuries. A single anterior plate and single sacroiliac joint (SIJ) screw was the most popular fixation method, chosen by 34%. 74% favour a single, opposed to two orthogonal anterior plates. Posterior fixation supplementing anterior plating is preferred by 63% of surgeons, 58% use a single versus 42% two SIJ screws. Case by case assessment and intraoperative screening to assess stability is essential when considering whether to stabilise the SIJ...
December 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/28866262/groin-pain-associated-with-sacroiliac-joint-dysfunction-and-lumbar-disorders
#17
Daisuke Kurosawa, Eiichi Murakami, Toshimi Aizawa
OBJECTIVE: We investigated the prevalence of groin pain in patients with sacroiliac joint (SIJ) dysfunction, lumbar spinal canal stenosis (LSS), and lumbar disc herniation (LDH) who did not have hip disorders, and evaluated the clinical features that distinguished SIJ dysfunction from LSS and LDH. PATIENT AND METHODS: We evaluated 127 patients (57 men, 70 women, average age 55 years) with SIJ dysfunction, 146 (98 men, 48 women, average age 71 years) with LSS, and 124 (83 men, 41 women, average age 50 years) with LDH...
October 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28776360/biomarkers-imaging-and-disease-activity-indices-in-patients-with-early-axial-spondyloarthritis-the-italian-arm-of-the-spondyloarthritis-caught-early-space-study
#18
M Lorenzin, A Ortolan, S Vio, M Favero, F Oliviero, M Zaninotto, C Cosma, C Lacognata, L Punzi, R Ramonda
The study aimed to evaluate biomarkers facilitating early diagnosis of axial spondyloarthritis (axSpA) and correlations between them and disease activity parameters and imaging indexes. Patients with low back pain (LBP) (≥3 months, ≤2 years, onset ≤45 years) participating in the Italian arm of the SpondyloArthritis-Caught-Early SPACE study underwent a physical examination, questionnaires, laboratory tests, X-rays and MRI of the spine and sacroiliac joints (SIJ). An expert rheumatologist formulated axSpA diagnosis in accordance with Assessment of SpondyloArthritis International Society (ASAS) criteria...
August 3, 2017: Reumatismo
https://www.readbyqxmd.com/read/28721093/gout-mimicking-spondyloarthritis-case-report-and-literature-review
#19
Wenji Chen, Yanyan Wang, Yan Li, Zheng Zhao, Lixia Feng, Jian Zhu, Jianglin Zhang, Feng Huang
Gout is clinically characterized by episodes of monoarthritis, which not only typically affects the peripheral joints but also occasionally affect the axial joint, such as the sacroiliac joint (SIJ), and often mimics spondyloarthritis (SpA). Two cases of gout mimicking SpA are presented in the current paper. One patient was a 32-year-old man with a history of asymmetrical oligoarthritis of ankle and metatarsophalangeal joints (MTPJ). He had left gluteal pain for 2 weeks. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed the bone erosion of the left SIJ...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28689579/characterization-of-a-dicationic-imidazolium-based-ionic-liquid-as-a-gas-chromatography-stationary-phase
#20
Kourosh Tabar Heydar, Amir Mohammade Azadeh, Sadegh Yaghoubnejad, Nima Ghonouei, Ali Sharifi, Marzieh Afshin Rahnama
Here we report the characteristics of a new synthesized ionic liquid, 1,9-di(N-naphthalen-2-ylimidazolium)nonane bis[(trifluoromethyl)sulfonyl]imide ([C9(2NPTim)2][(NTf2)2]), as a stationary phase by inverse gas chromatography. The McReynolds constants demonstrated that the [C9(2NPTim)2][(NTf2)2] had an average polarity of 667 and polarity number P.N.=75, suggesting its polar nature. The solvation properties of the new stationary phase were determined by the calculation of Abraham solvation system constants, whereby the results showed that its major interactions with the analytes included H-bond basicity (a), dipole-dipole (s) and dispersive (l) interactions...
July 5, 2017: Journal of Chromatography. A
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