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Computed tomography evaluation of the sacroiliac joints in Crohn disease

Radiologic/clinical correlation

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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.

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References

  1. Annsell BM, Wigley RAD (1964) Arthritic manifestations in regional enteritis. Ann Rheum Dis 23:64

    Article  Google Scholar 

  2. Carrera GF, Foley WD, Kozin F, Ryan L, Lawson TL (1981) CT of sacroiliitis. AJR 136:41

    Article  CAS  PubMed  Google Scholar 

  3. De Smet AA, Gardner JD, Lindsley HB, Goin JE, Fritz SL (1982) Tomography for evaluation of sacroiliitis. AJR 139:577

    Article  PubMed  Google Scholar 

  4. 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

    CAS  PubMed  Google Scholar 

  5. Fishman EK, Wolf EJ, Jones B, Bayless TM, Siegelman SS (1987) CT evaluation of Crohn's disease: Effect on patient management. AJR 148:537

    Article  CAS  PubMed  Google Scholar 

  6. Goldstein MJ, Nasr K, Singer HC, Anderson JGD, Kirsner JB (1969) Osteomyelitis complicating regional enteritis. Gut 10:264

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. 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

    Article  CAS  PubMed  Google Scholar 

  8. Kozin F, Carrera GF, Ryan LM, Foley D, Lawson T (1981) Computed tomography in the diagnosis of sacroiliitis. Arthritis Rheum 24:1479

    Article  CAS  PubMed  Google Scholar 

  9. Lawson TL, Foley WD, Carrera GF, Berland LL (1982) The sacroiliac joints: Anatomic, plain roentgenographic, and computed tomographic analysis. JCAT 6:307

    CAS  Google Scholar 

  10. Merine D, Fishman EK, Magid D (1988) CT detection of sacral osteomyelitis associated with pelvic abscesses. JCAT 12:118

    CAS  Google Scholar 

  11. 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

    Article  CAS  PubMed  Google Scholar 

  12. Montana MA, Richardson ML, Kilcoyne RF, Harley JD, Shuman WP, Mack LA (1986) CT of sacral injury. Radiology 161:499

    Article  CAS  PubMed  Google Scholar 

  13. 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

    CAS  PubMed  Google Scholar 

  14. Shirkhoda A, Brashear HR, Zelenik ME, Burke DC (1984) Sacral abnormalities — computed tomography versus conventional radiography. CT 8:41

    CAS  PubMed  Google Scholar 

  15. Simpson MB Jr (1984) Pelvic-femoral osteomyelitis complicating Crohn's disease. Am J Gastroenterol 79:379

    PubMed  Google Scholar 

  16. Vogler JB III, Brown WH, Helms CA, Genant HK (1984) The normal sacroiliac joint: A CT study of asymptomatic patients. Radiology 151:433

    Article  PubMed  Google Scholar 

  17. Whelan MA, Hilal SK, Gold RP, Luken MG, Michelson WJ (1982) Computed tomography of the sacrum, 2. Pathology.AJR 139:1191

    CAS  Google Scholar 

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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

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