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- 주제어 : Sacroiliac joint injection (검색결과 6 건)
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민지혜,최은석,이원일,김고운,이베나 대한재활의학회 2008 Annals of Rehabilitation Medicine Vol.32 No.1
Objective: To identify the optimal site for piriformis muscle injection, using easily detectable sacroiliac joint as a landmark, under fluoroscopic guidance. Method: We examined the anatomic relationships of the sciatic nerve, piriformis muscle and sacroiliac joint in 18 buttocks from 9 cadavers. The distance from the inferior margin of the sacroiliac joint to the piriformis muscle at the crossing point with the sciatic nerve, and the width of the sciatic nerve at that point were measured. We assessed the depth of the piriformis muscle and the sciatic nerve using ultrasonography in asymptomatic controls. Results: The mean distance from the inferior margin of the sacroiliac joint to the piriformis muscle at the crossing point with the sciatic nerve was 15.7±3.4 (12∼22) mm laterally and 16.5±4.1 (10∼25) mm caudally. The mean width of the sciatic nerve at that point was 15.4±3.7 (12∼22) mm. Ultrasonographic findings revealed the mean distance as 4.48±0.49 cm from the skin to the surface of the piriformis muscle and as 5.68±0.62 from the skin to the surface of the sciatic nerve. Conclusion: The most optimal injection site for piriformis syndrome was located 15.6±3.4 (12∼22) mm laterally and 16.5±4.1 (10∼25) mm caudally from the inferior margin of the sacroiliac joint. Objective: To identify the optimal site for piriformis muscle injection, using easily detectable sacroiliac joint as a landmark, under fluoroscopic guidance. Method: We examined the anatomic relationships of the sciatic nerve, piriformis muscle and sacroiliac joint in 18 buttocks from 9 cadavers. The distance from the inferior margin of the sacroiliac joint to the piriformis muscle at the crossing point with the sciatic nerve, and the width of the sciatic nerve at that point were measured. We assessed the depth of the piriformis muscle and the sciatic nerve using ultrasonography in asymptomatic controls. Results: The mean distance from the inferior margin of the sacroiliac joint to the piriformis muscle at the crossing point with the sciatic nerve was 15.7±3.4 (12∼22) mm laterally and 16.5±4.1 (10∼25) mm caudally. The mean width of the sciatic nerve at that point was 15.4±3.7 (12∼22) mm. Ultrasonographic findings revealed the mean distance as 4.48±0.49 cm from the skin to the surface of the piriformis muscle and as 5.68±0.62 from the skin to the surface of the sciatic nerve. Conclusion: The most optimal injection site for piriformis syndrome was located 15.6±3.4 (12∼22) mm laterally and 16.5±4.1 (10∼25) mm caudally from the inferior margin of the sacroiliac joint.
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Gaurav Chauhan,Prabhdeep Hehar,Vivek Loomba,Aman Upadhyay 대한척추신경외과학회 2019 Neurospine Vol.16 No.2
Objective: The sacroiliac joint can be a primary source of pain or part of multifactorial syndromes. As there is no single historical, physical examination-based, or radiological feature that definitively establishes a diagnosis of sacroiliac joint pain, diagnostic blocks are regarded as the gold standard. The primary aim of this randomized trial was to compare the posteroanterior approach with the classic oblique approach for sacroiliac joint injection based on an assessment of procedure times and patient-reported pain outcomes in subjects scheduled for fluoroscopically-guided sacroiliac joint injections. Methods: Thirty patients were randomized into 2 groups of 15 patients each. The endpoints measured included the total length of procedure time, fluoroscopic time, needling time (length of time the needle was maneuvered), and pre- and postprocedure visual analogue scale pain scores. Results: The posteroanterior approach was significantly shorter in terms of procedure time (p=0.03) and needling time (p=0.01) than the oblique approach. Adjusting for body mass index, the mean procedure and needling times were significantly shorter in the posteroanterior group than in the oblique group. Conclusion: This study of the posteroanterior approach for fluoroscopic-guided sacroiliac joint injection observed shorter times for fluoroscopy, needling, and the overall procedure than were recorded for the widely prevalent oblique approach. This may translate to lower radiation exposure, lower procedural costs, and enhanced ergonomics of fluoroscopically-guided sacroiliac joint injections.
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강철형 啓明大學校 醫科大學 1999 계명의대학술지 Vol.18 No.3
The sacroiliac joint syndrome is characterized by buttock pain and leg pain, which requires to be differentiated from common causes of low back pain or sacroiliitis by inflammatory arthritis. This syndrome is easily confused with the low back disorders and unnecessary investigation and improper management have been performed. So the purpose of this study is to describe the symptoms and signs specific for this syndrome to differentiate it from other causes of low back pain as well as to propose a proper management with its consequence. And we also presented treatment method and its result. From January, 1996 to December, 1998, there were 14 cases of sacroiliac joint syndrome, and their symptoms were clarified. We used two methods of conservative treatment, one is injection of steroid and local anesthetics into the involved sacroiliac joint and the other is use of non-steroid anti-inflammatory drugs. Degree of pain was scored by patients and result of treatment was analyzed 3 and 6 months after treatment respectively. Symptoms of all patients were relieved by this conservative method and the surgical treatment was not required.
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Chronic Testicular Pain Related to Sacroiliac Joint Dysfunction: A Case Report
Youseok Shin,Won-joong Kim,Hahck Soo Park 대한통증연구학회 2021 International Journal of Pain Vol.12 No.1
Sacroiliac joint (SIJ) dysfunction is usually caused by abnormality of multiple structures around SIJ. Referral of SIJ pain has been described as located in the lower lumbar spine, buttock, groin, medial, lateral, and posterior thigh and sometimes in the calf, but rare in testis. Here, we report a case of a 71-year-old man with testicular pain for 3 months. Examination by an urologist had not revealed an abnormality of testis or scrotum. We performed the SIJ block, and pain relief have been shown.
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김경훈 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.24
The sacroiliac joint is an underappreciated cause of low back and buttock pain. It is thought to cause at least 15% of low back pain and more common in the presence of trauma, pregnancy, or in certain athletes. Small-volume diagnostic blocks remain the most commonly used method for diagnosing this disorder, although their validity remains unproven. Owing to the complexity of the joint, the mechanisms of SI pain are numerous and ill defined. The objective of this article is to review the literature pertinent to sacroiliac joint syndrome with respect to historical, anatomic and biochemical, and etiological considerations, diagnosis, and treatment. 천장관절은 요통과 영치 부위 통증에 관해 간과하고 있는 부분이 많다. 최소한 요통의 15% 를 차지하며, 외상, 임신 혹은 일부 스포츠에서 흔히 발생한다. 이 천장관절 질환의 진단법의 타당성에 관해 증명되지 않았지만, 소량의 진단적 신경차단법이 가장 흔히 사용되고 있다. 이 관절의 복잡함 때문에 그 통증의 기전은 알려진 종류도 많지만 아직 불명하다. 이 연구는 천장 관절 증후군의 역사적, 해부학적, 생화학적 및 원인적 고려, 진단 및 치료에 관해 문헌고찰을 하고자 한다.
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