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Osteitis Condensans Ilii: Difference between revisions
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'''Osteitis condensans ilii''' (OCI) is a benign cause of [[Chronic Low Back Pain|chronic low back pain]] whereby there is [[Sacroiliac Joint|sacroiliac joint]] sclerosis of unknown pathophysiology. It can also be asymptomatic. It almost exclusively affects females, often following pregnancy. | '''Osteitis condensans ilii''' (OCI) is a benign cause of [[Chronic Low Back Pain|chronic low back pain]] whereby there is [[Sacroiliac Joint|sacroiliac joint]] sclerosis of unknown pathophysiology. It can also be asymptomatic. It almost exclusively affects females, often following pregnancy. | ||
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== Clinical Features == | == Clinical Features == | ||
Chronic sacral spinal pain. | Chronic sacral spinal pain. Associated with tenderness over the sacroiliac joints.<ref>{{Cite journal|last=Jenks|first=Katey|last2=Meikle|first2=Grant|last3=Gray|first3=Andrew|last4=Stebbings|first4=Simon|date=2009-04|title=Osteitis condensans ilii: a significant association with sacroiliac joint tenderness in women|url=https://pubmed.ncbi.nlm.nih.gov/20374315|journal=International Journal of Rheumatic Diseases|volume=12|issue=1|pages=39ā43|doi=10.1111/j.1756-185X.2009.01378.x|issn=1756-185X|pmid=20374315}}</ref> | ||
== Imaging == | == Imaging == | ||
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== Management == | == Management == | ||
Unknown. Consider physiotherapy, NSAIDs, corticosteroid injection. | Unknown. Consider physiotherapy, NSAIDs, corticosteroid injection. | ||
==Further Reading== | |||
{{PDF|Osteitis Condsans Ilii - Mitra 2009.pdf}} | |||
== References == | == References == | ||
[[Category:Sacroiliac Joint]] | {{References}} | ||
{{Reliable sources}} | |||
[[Category:Sacroiliac Joint Conditions]] | |||
Latest revision as of 21:01, 14 March 2023
This article is a stub.
Osteitis condensans ilii (OCI) is a benign cause of chronic low back pain whereby there is sacroiliac joint sclerosis of unknown pathophysiology. It can also be asymptomatic. It almost exclusively affects females, often following pregnancy.
Pathophysiology
Unknown. Suspected to be mechanical.
Clinical Features
Chronic sacral spinal pain. Associated with tenderness over the sacroiliac joints.[1]
Imaging
On AP plain films there is a well defined triangular area of sclerosis on the iliac aspect of the bilateral sacroiliac joints. The joint space is relatively well preserved.
On MRI there is extensive sclerosis especially on the iliac side of the sacroiliac joints.
Differential Diagnosis
The most important differential is axial sponyloarthritis.
| Sacroiliitis of spondyloarthritis | Osteitis condensans ilii | |
|---|---|---|
| Similarities | Involvement of both sacroiliac joints and subchondral sclerosis | |
| Differences |
|
|
Management
Unknown. Consider physiotherapy, NSAIDs, corticosteroid injection.
Further Reading
References
- ā Jenks, Katey; Meikle, Grant; Gray, Andrew; Stebbings, Simon (2009-04). "Osteitis condensans ilii: a significant association with sacroiliac joint tenderness in women". International Journal of Rheumatic Diseases. 12 (1): 39ā43. doi:10.1111/j.1756-185X.2009.01378.x. ISSN 1756-185X. PMID 20374315. Check date values in:
|date=(help) - ā H Kang. Radiology Illustrated Spine. Springer. 2014
Literature Review
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
- Articles from all years: PubMed search, Google Scholar search.
- TRIP Database: clinical publications about evidence-based medicine.
- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,
