Osteitis condensans ilii: current knowledge and diagnostic approach

Parperis, Konstantinos; Psarelis, Savvas; Nikiphorou, Elena

doi:10.1007/s00296-020-04582-9

Cited by 22 publications

(26 citation statements)

References 29 publications

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“…Although radiographic progression of the SIJs was detected by CT in both AS patients with and without delivery, no signi cant differences in the interval changes of total, erosion, sclerosis, and JSN scores of the SIJs were found in our study. We expected that women with AS would have increased sclerosis in the SIJs after delivery, such as osteitis condensans ilii 24 . However, the SIJ scores for sclerosis in the delivery group did not signi cantly change.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography-based assessment of radiographic progression in spine and sacroiliac joints after pregnancy in women with ankylosing spondylitis

Lee

Kim

et al. 2021

Preprint

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We aimed to investigate whether pregnancy affects radiographic progression in patients with ankylosing spondylitis (AS) based on computed tomography (CT) evaluations. This retrospective study included women with AS aged 19–49 years who underwent at least two CT evaluations of the whole spine or sacroiliac joints (SIJs) at intervals of 2–4 years. The delivery group was restricted to women who had the first CT ~ 2 years before delivery and the second CT ~ 2 years after delivery. The CT Syndesmophyte Score (CTSS) (0-522) and SIJ scores (0–40) were used to radiographic progression. A total of 21 women in the delivery group and 38 women in the controls were included. The median (Q1-Q3) CTSS at baseline in the delivery group and controls was 19 (16–23) and 20 (13.25–27.75), and the median progression was 1 (0–3) and 0 (0–1) during the median 2.9-year follow-up, respectively. The median SIJ score at baseline in the delivery group and controls was 13 (8–22) and 11 (6–22), and the median progression was 1.5 (0–3) and 1 (0–2), respectively. The CTSS and SIJ scores significantly increased in both groups; however, no difference in absolute score changes per time-point was observed. Pregnancy do not affect the radiographic progression in AS.

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Section: Discussionmentioning

confidence: 99%

Computed tomography-based assessment of radiographic progression in spine and sacroiliac joints after pregnancy in women with ankylosing spondylitis

Lee

Kim

et al. 2021

Preprint

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“…47 Osteitis condensans ilii is a benign radiologic felt to be related to mechanical stress in the SI joints, most prevalent in perigestational and postpartum women. 48 It may be asymptomatic or rarely associated with low back pain. 49 On radiograph, symmetric triangular sclerosis generally confined to the iliac side of the SI joint in the absence of joint space narrowing is diagnostic (Fig.…”

Section: Osteitis Condensans Iliimentioning

confidence: 99%

Multimodality Multisystem Imaging of Pregnancy-Related Changes: Featuring Neurologic, Cardiothoracic, Breast, Gynecologic, and Musculoskeletal Issues

Dishuck

Bass²,

Allen³

et al. 2022

J Comput Assist Tomogr

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Pregnancy and the puerperium are a time of significant physiologic change, and with an average of 4 million births in the United States yearly, radiologists encounter pregnancy-related imaging findings regularly. While many of these findings represent physiologic changes, a significant number represent pathology, making it paramount for radiologists to distinguish between the two. This case-based article reviews imaging findings within the nervous, cardiovascular, pulmonary, breast, gynecologic, musculoskeletal, digestive, hematologic, and integumentary systems throughout pregnancy and the postpartum period.

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“…Parperis K et al have suggested the term idiopathic pelvis sclerosis might be an alternative term to OCI due to the lack of inflammation evidence in those patients. 78 OCI is considered a diagnosis of exclusion because plain radiograph and MRI findings of the spine were unremarkable; 79 while the characteristic X-ray image may show triangular sclerotic changes in the auricular portion of the bilateral ilium with preserved SI joint space. 80,81 Patients mostly exhibit normal physical and neurological examination but some show SI joint region tenderness and increased lumbar lordosis.…”

Section: Quantitative Sacroiliac Scintigraphy For Osteitis Condensans Iliimentioning

confidence: 99%

“…The association between OCI and SI joint stress, and that between sacroiliitis and sciatica, has been reported. It is characterised by a favourable prognosis; 78 therefore, the treatment goal was to improve their health-related quality of life .78 In clinical practice, symptoms of OCI presented with piriformis muscle syndrome and sciatica could be successfully managed with SI joint injections. 82 The use of QSS is the first of its kind to monitor active SI joint disorder before and after the treatment of OCI.…”

Section: Quantitative Sacroiliac Scintigraphy For Osteitis Condensans Iliimentioning

confidence: 99%

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

et al. 2021

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Background: Back pain a common cause for hospital visits. Nuclear skeletal scintigraphy, at a high sensitivity, provides a functional imaging for detecting bone diseases. Sacroiliitis is an inflammation of the sacroiliac joint. Bone scan with quantitative sacroiliac scintigraphy (QSS) has been a useful inflammation indicator for sacroiliac joints. However, QSS has been ignored in the rehabilitation practice. Objective: To present the background, mechanisms, and current clinical applications of bone scan with QSS in spondyloarthropathy (SpA). Methods: The authors performed a literature review of QSS through database searching of MEDLINE, Embase, CINAHL, HaPI, Cochrane Review, and citation mining. Studies were included if they had QSS in the methodology performed in adult patients with various diseases. Any articles, including the authors’, that can be performed in a clinical setting were enrolled. Articles explicitly referencing QSS were retained for screening. Results: QSS appearance of SpA, including ankylosing spondylitis, may give rise to early detection. The specificity of sacroiliitis based on QSS increases from 73% to 97%. After investigating the relationship between serum C-reactive protein and sacroiliac joint inflammation in patients with SpA, there appeared to be a significant difference between serum C-reactive protein in serum and in sacroiliac ratio (particularly the middle part of the both joints), indicating a systemic inflammatory response to flair-up of SpA, for example, serum C-reactive protein as an indicator of inflammation. Sacroiliitis also occurs in post-streptococcal reactive arthritis. The involvement of sacroiliac joints in the development of post-streptococcal reactive arthritis had been demonstrated a significant correlation between anti-streptolysin O titres and QSS in patients with post-streptococcal reactive arthritis. Lower extremity periostitis acts as a human model in the study of bottom-up processing for periostitis-induced sacroiliac pain. The use of QSS can also monitor sacroiliac joint dysfunction before and after laser therapy. Improvements of the sacroiliac joint after convalescing of foot periostitis have been reported. Conclusions: Bone scan using QSS is a good screening measurement in scintigraphy rehabilitation for early detection of SpA and raises awareness of physicians toward the next step of diagnosis.

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Osteitis condensans ilii: current knowledge and diagnostic approach

Cited by 22 publications

References 29 publications

Computed tomography-based assessment of radiographic progression in spine and sacroiliac joints after pregnancy in women with ankylosing spondylitis

Computed tomography-based assessment of radiographic progression in spine and sacroiliac joints after pregnancy in women with ankylosing spondylitis

Multimodality Multisystem Imaging of Pregnancy-Related Changes: Featuring Neurologic, Cardiothoracic, Breast, Gynecologic, and Musculoskeletal Issues

A Worthwhile Measurement of Early Vigilance and Therapeutic Monitor in Axial Spondyloarthritis: A Literature Review of Quantitative Sacroiliac Scintigraphy

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