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Sacroiliac Joint Dysfunction Presented with Acute Low Back Pain: Three Case Reports Shuji HAMAUCHI 1 , Daijiro MORIMOTO 2 , Toyohiko ISU 1 , Atsushi SUGAWARA 3 , Kyongsong KIM 2 , Yusuke SHIMODA 1 , Hiroaki MOTEGI 1 , Ryoji MATSUMOTO 1 , Masanori ISOBE 1 1Department of Neurosurgery,Kushiro Rosai Hospital 2Department of Neurosurgery,Nippon Medical School 3Department of Neurosurgery,Iwate Medical School Keyword: sacroiliac joint dysfunction , acute low back pain , referred symptom , lumbar spinal disorder pp.655-661
Published Date 2010/7/10
DOI https://doi.org/10.11477/mf.1436101214
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 Sacroiliac joint (SIJ) can cause low back pain when its joint capsule and ligamentous tissue are damaged. We report our experience in treating three SIJ dysfunction patients presenting with acute low back pain (a 38 year-old male,a 24 year-old male,and a 32 year-old female). SIJ dysfunction was diagnosed using the one-finger test,the modified Newton test,and SIJ injection. In all three patients,lumbar MRI demonstrated slightly degenerated lumbar lesions (lumbar canal stenosis,lumbar disc hernia). Two patients had paresthesia or pain in the leg and all three patients showed iliac muscle tenderness in the groin,which was thought to be a referred symptom because of improvement after SIJ injection. The two male patients returned to work and the problems have not recurred. Although our female patient resumed daily life as a housewife,her condition recurred at intervals of 2-3 months and she required regular SIJ injections. The prevalence of SIJ dysfunction of low back pain is about 10%,so it should be considered as a differential diagnosis when treating low back pain and designing treatment for lumbar spinal disorders.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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