Abstract
Computed tomography (CT) was used in a prospective study of the sacroiliac joints in 86 patients with Crohn disease to determine the type and frequency of sacroiliac joint abnormalities present in this population. The CT findings were correlated with review of the clinical history in 64 patients. Computed tomography demonstrated changes of sacroiliitis in 29% of the study group. This high prevalence of sacroiliac joint abnormality was found even in those under 30 years of age. It exceeds the 11–19% previously reported from plain film examination, reflecting the greater sensitivity of CT. In the subgroup of 64 patients studied clinically, 19 (30%) had abnormal sacroiliac joints on CT, but only 2 (3%) reported symptoms related to the sacroiliac joints.
Similar content being viewed by others
References
Annsell BM, Wigley RAD (1964) Arthritic manifestations in regional enteritis. Ann Rheum Dis 23:64
Carrera GF, Foley WD, Kozin F, Ryan L, Lawson TL (1981) CT of sacroiliitis. AJR 136:41
De Smet AA, Gardner JD, Lindsley HB, Goin JE, Fritz SL (1982) Tomography for evaluation of sacroiliitis. AJR 139:577
Firooznia H, Golimbu C, Rafii M, Kricheff II, Marshall C, Beranbaum ER (1984) Computed tomography of the sacroiliac joints: Comparison with complex-motion tomography. CT 8:31
Fishman EK, Wolf EJ, Jones B, Bayless TM, Siegelman SS (1987) CT evaluation of Crohn's disease: Effect on patient management. AJR 148:537
Goldstein MJ, Nasr K, Singer HC, Anderson JGD, Kirsner JB (1969) Osteomyelitis complicating regional enteritis. Gut 10:264
Greenstein AJ, Janowitz HD, Sachar DB (1976) The extraintestinal complications of Crohn's disease and ulcerative colitis: a study of 700 patients. Medicine 55:401
Kozin F, Carrera GF, Ryan LM, Foley D, Lawson T (1981) Computed tomography in the diagnosis of sacroiliitis. Arthritis Rheum 24:1479
Lawson TL, Foley WD, Carrera GF, Berland LL (1982) The sacroiliac joints: Anatomic, plain roentgenographic, and computed tomographic analysis. JCAT 6:307
Merine D, Fishman EK, Magid D (1988) CT detection of sacral osteomyelitis associated with pelvic abscesses. JCAT 12:118
Moll JMH, Haslock I, Macrae IF, Wright V (1974) Associations between ankylosing spondylitis, psoriatic arthritis, Reiter's disease, the intestinal arthropathies, and Behcet's syndrome. Medicine 53:343
Montana MA, Richardson ML, Kilcoyne RF, Harley JD, Shuman WP, Mack LA (1986) CT of sacral injury. Radiology 161:499
Palumbo PJ, Ward LE, Sauer WG, Scudamore HH (1973) Musculoskeletal manifestations of inflammatory bowel disease: Ulcerative and granulomatous colitis and ulcerative proctitis. Mayo Clin Proc 48:411
Shirkhoda A, Brashear HR, Zelenik ME, Burke DC (1984) Sacral abnormalities — computed tomography versus conventional radiography. CT 8:41
Simpson MB Jr (1984) Pelvic-femoral osteomyelitis complicating Crohn's disease. Am J Gastroenterol 79:379
Vogler JB III, Brown WH, Helms CA, Genant HK (1984) The normal sacroiliac joint: A CT study of asymptomatic patients. Radiology 151:433
Whelan MA, Hilal SK, Gold RP, Luken MG, Michelson WJ (1982) Computed tomography of the sacrum, 2. Pathology.AJR 139:1191
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Scott, W.W., Fishman, E.K., Kuhlman, J.E. et al. Computed tomography evaluation of the sacroiliac joints in Crohn disease. Skeletal Radiol. 19, 207–210 (1990). https://doi.org/10.1007/BF00204098
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF00204098