DISEASE IN THE SACRO-ILIAC ARTICULATION

Manipulation of the Sacro-Iliac Joint

As recently as 1937, Horace C. Pitkin in an article in the "Journal of Bone and Joint Surgery" wrote: "Manipulative surgery is a therapeutic waif of lowly origin whose infancy and childhood have been shielded from the light of reason by a congenital veil of empiricism and quackery." Yet in spite of such hereditary handicaps, it continues to thrive wonderfully; and perhaps in no better field tha...

Sacro-iliac joint in adult rheumatoid arthritis and psoriatic arthropathy.

Sacro-iliitis is held to be an early and constant sign of ankylosing spondylitis (AS), a frequent sign of Reiter's disease, and one by which it is possible to distinguish these diseases radiologically from rheumatoid arthritis (RA). Recently Cohen, McNeil, Sharp, Schubart, Calabro, and Calkins (1959), in a combined clinical and radiological study of AS and RA, briefly noted that "the sacro-ilia...

Percutaneous arthrodesis of sacro-iliac joint: a pilot study.

AIM Between 15-30% of patients presenting with low back pain have some SI joint involvement. The diagnosis of SI joint involvement in low back pain is quite difficult and depends on a detailed combination of clinical manoeuvres and injection tests. In 5% of patients with SI joint pain, the joint is physically unstable (termed disruption) resulting in ineffective medical and conservative therape...

Sacro-iliitis in Reiter's disease.

Radiological study of sacro-iliac joints in ankylosing spondylitis with reference to the evolution of the disease.

Krebs (1931) stated that, in ankylosing spondylitis, sacro-iliac changes appeared early in radiographs and were almost constant. Since that time the attention of all those interested in the clinical aspects and pathogenesis of the disease has been focused on these radiological changes. Scott (1936) laid great stress on the value of radiological changes in early diagnosis of the disease, and lau...