The value of medical history and physical examination in diagnosing sacroiliac joint pain

Spine
P DreyfussN Bogduk

Abstract

This prospective study evaluated the diagnostic utility of historically accepted sacroiliac joint tests. A multidisciplinary expert panel recommended 12 of the "best" sacroiliac joint tests to be evaluated against a criterion standard of unequivocal gain relief after an intra-articular injection of local anesthetic into the sacroiliac joint. To identify a single sacroiliac joint test or ensemble of test that are sufficiently useful in diagnosing sacroiliac joint disorders to be clinically valuable. No previous research has been done to evaluate any physical test of sacroiliac joint pain against an accepted criterion standard. Historical data was obtained, and the 12 tests were performed by two examiners on 85 patients who subsequently underwent sacroiliac joint blocks. Ninety percent or more relief was considered a positive response, and less then 90% relief was considered a negative response. There were 45 positive and 40 negative responses. No historical feature, none of the 12 sacroiliac joint tests, and no ensemble of these 12 tests demonstrated worthwhile diagnostic value. Sacroiliac joint pain is resistant to identification by the historical and physical examination data from tests evaluated in this study.

References

Dec 1, 1992·Physical Therapy·J M Walker
Nov 1, 1985·Physical Therapy·N A Potter, J M Rothstein
Aug 1, 1986·Physical Therapy·M T CibulkaD R Sinacore
Jul 1, 1968·American Journal of Surgery·G F Norman
Feb 1, 1983·Seminars in Arthritis and Rheumatism·N BellamyP J Rooney
Dec 1, 1981·Arthritis and Rheumatism·A S RusselS LeClercq
Jan 1, 1995·Spine·A C SchwarzerN Bogduk
Jun 1, 1993·The Clinical Journal of Pain·L BarnsleyN Bogduk
Jan 1, 1993·Journal of Back and Musculoskeletal Rehabilitation·J D Fortin

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Citations

May 9, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Etienne QvistgaardHenning Bliddal
Jun 15, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M J HancockN Bogduk
Feb 9, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Andry VleemingBritt Stuge
May 15, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hiroyuki Yoshihara
Sep 25, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thomas J KibsgårdBritt Stuge
Mar 5, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mel CusiIgnac Fogelman
Aug 27, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nate SlinkardMarc F Swiontkowski
May 29, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Eiichi MurakamiShoichi Kokubun
Dec 18, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Eiichi MurakamiHiroaki Uozumi
Jun 14, 2005·Best Practice & Research. Clinical Rheumatology·Jon D Lurie
Mar 16, 2005·Disease-a-month : DM·Heidi Prather, Devyani Hunt
Oct 7, 2003·Clinical Biomechanics·Ulla Levin, Christina H Stenström
Dec 4, 2001·European Journal of Radiology·R OjalaO Tervonen
Jun 12, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Y MurataH Moriya
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·F Todd Wetzel, Ronald Donelson
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·Jerome SchoffermanConor O'Neill
Nov 12, 2003·The Spine Journal : Official Journal of the North American Spine Society·Sharon YoungMark Laslett
May 25, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Andry VleemingJan-Paul van Wingerden
Dec 1, 2006·Pain Practice : the Official Journal of World Institute of Pain·Phillip S SizerKirk Thompsen
Mar 26, 2013·Evidence-based Spine-care Journal·William Ryan SpikerDarrel S Brodke
Dec 9, 2010·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Woong Mo KimMyung Ha Yoon
May 19, 2009·Rheumatology·Josef HermannWinfried Graninger
Mar 31, 2000·The Clinical Journal of Pain·J M RosenbergA M de Rosayro
Aug 23, 2000·Spine·Y MurataH Moriya
Feb 7, 2003·Journal of Spinal Disorders & Techniques·Victor KatzJames Reynolds
Jul 12, 2007·The Journal of Trauma·Bruce H ZiranWade R Smith
Dec 4, 2008·Spine·Tom BendixLars Korsholm
Jan 8, 2009·Spine·Jonathan N Sembrano, David W Polly
Jul 5, 2008·Journal of Spinal Disorders & Techniques·Ahmad Al-KhayerMichael Paul Grevitt
Dec 6, 2008·Journal of Spinal Disorders & Techniques·Christopher L Wise, Bruce E Dall
Feb 16, 2008·Sports Medicine and Arthroscopy Review·Najeeb KhanMichael Haak
Feb 18, 2011·BMC Medicine·Nikolaos K KanakarisPeter V Giannoudis
Nov 2, 2006·Chiropractic & Osteopathy·Rob Simpson, Hugh Gemmell
Aug 13, 2008·Chiropractic & Osteopathy·Donald R MurphyCraig F Nelson
Apr 6, 2012·Journal of Medical Case Reports·Miguel PishnamazPhilipp Kobbe

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