Sacroiliac joint dysfunction in the structure of pain syndrome in patients with hip-spine syndrome
DOI:
https://doi.org/10.22141/1608-1706.5.21.2020.217085Keywords:
patients with hip-spine syndrome, pain syndrome, sacroiliac joint dysfunction, relationship, treatmentAbstract
The analysis was performed of case histories of 138 patients with hip-spine syndrome who underwent hip arthroplasty in the clinic of orthopedics and traumatology for adults at the State Institution “Institute of Traumatology and Orthopaedics of the National Academy of Medical Sciences of Ukraine”. It was found that patients with sacroiliac joint dysfunction make a fairly large proportion among those with hip-spine syndrome (14.5 %). The dominant factors in patients with sacroiliac joint dysfunction are leg length discrepancies and hyperlordosis (83.3 %), which suggests a pathogenetic relationship between the variant of vertical posture (hyperlordosis) and the development of sacroiliac joint dysfunction. The high efficacy of therapeutic blockades in patients with sacroiliac joint dysfunction on the background of hip-spine syndrome has been proven. A significant reduction in the pain effect was achieved in 60 % of patients with primary and in 100 % — with repeated treatment blockades. The signs obtained as a result of the study can be included in the algorithms for the diagnosis and treatment of patients with hip-spine syndrome.References
Гайко Г.В., Бруско А.Т. Сучасні підходи до профілактики та лікування остеоартрозу. Літопис травматології та ортопедії. 2008. № 1–2. С. 157-160.
Везикова Н.Н. Влияние хондропротективной терапии на качество жизни больных с остеоартрозом. Научно-практическая ревматология. 2004. № 2. С. 74.
Попова Л.А., Сазонова Н.В., Волокитина Е.А. Коксартроз в структуре заболеваний опорно-двигательной системы: современный взгляд на этиологию, патогенез и методы лечения (аналитический литературный обзор). Гений ортопедии. 2006. № 4. С. 91-98.
Корж А.А., Филиппенко В.А., Дедух Н.В. Артроз: классификация, эпидемиология клиника, диагностика и лечение. Международный медицинский журнал. 2002. Т. 8. № 1/2. С. 127-133
Герасименко С.І., Пашков Є.П., Мороз М.Ф. Остеоартроз кульшових та колінних суглобів у людей літнього віку та його лікування. Літопис травматології та ортопедії. 2003. № 3–4. С. 66-68.
Герцен Г.І., Остапчук Н.П., Буштрук А.М. Деформівний артроз великих суглобів. Український медичний часопис. 2003. № 5(37). С. 55-60.
Левенец В.Н., Пляцко В.В. Деформирующий гонартроз (некоторые вопросы патогенеза). Вестн. Российской АМН. 1992. № 6. С. 22-24.
Головаха М.Л., Лоскутов А.Е. Ранняя загрузка после высокой вальгизирующей остеотомии большеберцовой кости при лечении гонартроза. Ортопедия, травматол. и протезир. 2009. № 2. С. 13-16.
Хвисюк О.М. Тазобедренно-поясничный синдром (патогенез, диагностика, принципы лечения): автореф. дис. д-ра мед. наук: спец. 14.01.21 «Травматологія та ортопедія». Харків, 2002. 28 с.
Koes B., van Tulder M., Lin C., Macedo L., McAuley J., Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. European Spine Journal. 2010. Vol. 19. № 12. P. 2075-2094. doi: 10.1007/s00586-010-1502-y.
Allegri M., Montella S., Salici F. et al. Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Research. 2016. Vol. 5. P. 1530. doi: 10.12688/f1000research.8105.1.
Cohen S., Chen Y., Neufeld N. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Review of Neurotherapeutics. 2013. Vol. 13(1). P. 99-116. doi: 10.1586/ern.12.148.
Poley R., Borchers J. Sacroiliac Joint Dysfunction: Evaluation and Treatment. The Physician and Sportsmedicine. 2008. Vol. 36. № 1. P. 42-49. doi: 10.3810/psm.2008.12.10.
Cohen S., Strassels S., Kurihara С. et al. Outcome Predictors for Sacroiliac Joint (Lateral Branch) Radiofrequency Denervation. Regional Anesthesia and Pain Medicine. 2009. Vol. 34. № 3. P. 206-214. doi: 10.1097/aap.0b013e3181958f4b.
Fortin J., Dwyer A., West S., Pier J. Sacroiliac Joint: pain referral maps upon applying a new injection/arthrography technique. Part I: asymptomatic volunteers. Spine. 1994. Vol. 19. № 13. P. 1475-1482. doi: 10.1097/00007632-199407000-00010.
Young S., Aprill С., Laslett М. Correlation of clinical examination characteristics with three sources of chronic low back pain. The Spine Journal. 2003. Vol. 3. № 6. P. 460-465. doi: 10.1016/s1529-9430(03)00151-7.
Szadek К., van der Wurff Р., van Tulder М., Zuurmond W., Perez R. Diagnostic Validity of Criteria for Sacroiliac Joint Pain: A Systematic Review. The Journal of Pain. 2009. Vol. 10. № 4. P. 354-368. doi: 10.1016/j.jpain.2008.09.014.
Prather Hunt D. Sacroiliac joint pain. Disease-a-Month. 2004. Vol. 50. № 12. P. 670-683. doi:10.1016/j.disamonth.2004.12.004.
Попелянский Я.Ю. Ортопедическая неврология (вертеброневрология): руководство для врачей. 5-е изд. М.: МЕДпресc информ, 2011. 672 с.
Денисов А.О., Шильников В.А., Барнс С.А. Коксо-вертебральный синдром и его значение при эндопротезировании тазобедренного сустава (обзор литературы). Травматология и ортопедия России. 2012. № 1(63). С. 121-127.
Itz С., Willems Р., Zeilstra D., Huygen F. Dutch Multidisciplinary Guideline for Invasive Treatment of Pain Syndromes of the Lumbosacral Spine. Pain Pract. 2016. Vol. 16. № 1. P. 90-110. doi: 10.1111/papr.12318. Epub 2015 Jun 1.
Загородний Н.В., Скипенко Т.О., Захарян Н.Г. и др. Тотальное эндопротезирование тазобедренного сустава с парой трения из современной керамики. Информационный бюллетень «UPDATE ORTHOPAEDICS». 2014. № 1. С. 2-4.
Ахтямов И.Ф., Кузьмин И.И. Ошибки и осложнения эндопротезирования тазобедренного сустава: рук. для врачей. Казань: Центр оперативной печати, 2006. 328 с.
Kellgren J.H., Lawrence J.S. Radiologic assessment of osteoartrthrosis. Ann. Rheum. Dis. 1957. № 16. Р. 494-501.
Hawker G. A., Mian S., Kendzerska T., French M. Measures of adult pain. Arthritis Care Res (Hoboken). 2011. Vol. 63. Suppl. 11. Р. S240-52. doi: 10.1002/acr.20543.
Мінцер О.П., Вороненко Ю.В., Власов В.В. Інформаційні технології в охороні здоров’я і практичній медицині: Оброблення клінічних і експериментальних даних у медицині: Навч. посіб. К.: Вища школа, 2003. 350 с.
Гланц С. Медико-биологическая статистика. М.: Практика, 1998. 459 с.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 TRAUMA
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our edition uses the copyright terms of Creative Commons for open access journals.
Authors, who are published in this journal, agree with the following terms:
- The authors retain rights for authorship of their article and grant to the edition the right of first publication of the article on a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published article, with the obligatory reference to the authors of original works and original publication in this journal.
- Directing the article for the publication to the editorial board (publisher), the author agrees with transmitting of rights for the protection and using the article, including parts of the article, which are protected by the copyrights, such as the author’s photo, pictures, charts, tables, etc., including the reproduction in the media and the Internet; for distributing; for the translation of the manuscript in all languages; for export and import of the publications copies of the writers’ article to spread, bringing to the general information.
- The rights mentioned above authors transfer to the edition (publisher) for the unlimited period of validity and on the territory of all countries of the world.
- The authors guarantee that they have exclusive rights for using of the article, which they have sent to the edition (publisher). The edition (the publisher) is not responsible for the violation of given guarantees by the authors to the third parties.
- The authors have the right to conclude separate supplement agreements that relate to non-exclusive distribution of their article in the form in which it had been published in the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
- The policy of the journal permits and encourages the publication of the article in the Internet (in institutional repository or on a personal website) by the authors, because it contributes to productive scientific discussion and a positive effect on efficiency and dynamics of the citation of the article.
- The rights to the article are deemed transferred by the authors to the edition (the publisher) since the moment of the publication of the article in the printed or electronic version of journal.
