Abstract
Low back pain js a common symptom, in woman in pregancy and during the postpar turn period. Ligamentous laxity and extra mechanical stress have been attributed as the main cause for low back pain during pregnancy. Osteitis condensans ilii is characterized by recurrent attacks of chronic low back pain localized to one or both of the sacroiliac joints. The radiological appearance in osteitis condensans ilii is characteristic with well defined triangular sclerosis on the iliac aspect of the sacroiliac joint. A case of a 26 year old woman with low back pain secondary to an uncommon benign condition called osteitis condensans ilii is presented here. Her pregnancy had been complicated by low back pain. Physical examination was unremarkable. This case report emphasizes the important features and differential diagnosis of osteitis condensans ilii and managing this rare condition.
References
- 1. Sinaki M, Mokri B. Low back pain and disorders of the lumbar spine. In Braddom RL (ed). Physical Medicine and Rehabilitation. Philadelphia: WB Saunders, 2000: 853-93.
- 2. van Tulder MW, Ostelo R, Vlaeyen JW, Linton SJ, Morley SJ, Assendelft WJ. Behavioral treatment for chronic low back pain. Spine 2000; 25(20):2688-2699.
- 3. Ostgaard HC, Andersson GB, Schultz AB. Influence of some biomechanical factors on low back pain in pregnancy. Spine 1993;18:61-5.
- 4. MacLennan AH, Nicolson R, Green RC, Bath M. Serum relaxin and pelvic pain of pregnancy. Lancet 1986; 2:243-5.
- 5. Thompson M. Osteitis condensans ilii and its difference from anklylosing spondylitis. Ann Rheum Dis 1954;13:147-156.
- 6. Resnick D. Disorders of other endocrine glands and of pregnancy. In: Resnick D, ed. Diagnosis of bone and joint disorders. Philadelphia: W B Saunders, 1995: 2089-92.
- 7. Numaguchi Y. Osteitis condensans ilii, including its resolution. Radiology 1971; 98:1-8.
- 8. Vadivelu R, Green TP, Bhatt R. An uncommon cause of back pain in pregnancy. Postgrad Med J 2005; 81:65-67.
- 9. Dougados M, van der Linden S, Juhlin R, Hu-itfeldt B, Amor B, Calin A, et al. The European Spondyloarthropathy Study Group preliminary criteria for the classification of spondyloarthropathy. Arthritis Rheum. 1991;34:1218-227.
- 10. Singal DP, de Bosset P, Gordon DA, Smythe HA, Urowitz MB, Koehler BE. HLA antigens in osteitis condensans ilii and ankylosing spondylitis. J Rheumatol Suppl 1977; 3:105-8.
Abstract
Hamilelik ve doğum sonrası dönemde bayanlarda bel ağrısı sık görülen bir problemdir. Li-gaman laksitesinin ve ekstra mekanik stresin hamilelik sırasında gelişen bel ağrısının en önemli sebebi olduğu düşünülmektedir. Osteitis kondensans ilii, kronik bel ağrısının tekrarlayan atakları ile karakterize olan ve bir veya her iki sakroiliak ekleme lokalize formudur. Osteitis kondensans ikinin karakteristik radyolojik görüntüsü sakroiliak eklemin iliak yüzündeki iyi tanımlanmış üçgen sklerozdur. Burada 26 yaşındaki bayan hastada nadir benign bir durum olan osteitis kondensans ili-iye sekonder gelişen bel ağrısı sunulmuştur. Hastanın hamileliği bel ağrısı ile komplike olmuştur ve fizik muayenesinde dikkate değer bir bulgu yoktur. Bu olgu sunumu osteitis kondensan iliinin önemli özelliklerini, ayırıcı tanısını ve tedavisini vurgulamaktadır.
Dr. Ümit DÜNDAR, Dr. Özlem SOLAK, Dr. Ayçan TÜREL
Keywords
References
- 1. Sinaki M, Mokri B. Low back pain and disorders of the lumbar spine. In Braddom RL (ed). Physical Medicine and Rehabilitation. Philadelphia: WB Saunders, 2000: 853-93.
- 2. van Tulder MW, Ostelo R, Vlaeyen JW, Linton SJ, Morley SJ, Assendelft WJ. Behavioral treatment for chronic low back pain. Spine 2000; 25(20):2688-2699.
- 3. Ostgaard HC, Andersson GB, Schultz AB. Influence of some biomechanical factors on low back pain in pregnancy. Spine 1993;18:61-5.
- 4. MacLennan AH, Nicolson R, Green RC, Bath M. Serum relaxin and pelvic pain of pregnancy. Lancet 1986; 2:243-5.
- 5. Thompson M. Osteitis condensans ilii and its difference from anklylosing spondylitis. Ann Rheum Dis 1954;13:147-156.
- 6. Resnick D. Disorders of other endocrine glands and of pregnancy. In: Resnick D, ed. Diagnosis of bone and joint disorders. Philadelphia: W B Saunders, 1995: 2089-92.
- 7. Numaguchi Y. Osteitis condensans ilii, including its resolution. Radiology 1971; 98:1-8.
- 8. Vadivelu R, Green TP, Bhatt R. An uncommon cause of back pain in pregnancy. Postgrad Med J 2005; 81:65-67.
- 9. Dougados M, van der Linden S, Juhlin R, Hu-itfeldt B, Amor B, Calin A, et al. The European Spondyloarthropathy Study Group preliminary criteria for the classification of spondyloarthropathy. Arthritis Rheum. 1991;34:1218-227.
- 10. Singal DP, de Bosset P, Gordon DA, Smythe HA, Urowitz MB, Koehler BE. HLA antigens in osteitis condensans ilii and ankylosing spondylitis. J Rheumatol Suppl 1977; 3:105-8.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | November 20, 2008 |
| Published in Issue | Year 2008 Volume: 2 Issue: 3 |
