Sacroiliac Joints: Osteoarthritis or Arthritis
Sacroilíacas: artrosis o artritis
Ana Isabel García Díez
, Xavier Tomás Batllé, Jaume Pomés Talló, Montserrat del Amo Conill
Corresponding author
Departamento de Radiología, Centro de Diagnóstico por la Imagen Clínic (CDIC), Hospital Clínic, Barcelona, Spain
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Physiopathology of Rheumatoid Arthritis" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "34" "paginaFinal" => "39" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La interleucina 6 en la fisiopatología de la artrirtis reumatoide" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Luis Pablos Álvarez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "José Luis" "apellidos" => "Pablos Álvarez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309700863?idApp=UINPBA00004M" "url" => "/21735743/0000000500000001/v1_201305061551/S2173574309700863/v1_201305061551/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "titulo" => "Sacroiliac Joints: Osteoarthritis or Arthritis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "40" "paginaFinal" => "43" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Ana Isabel García Díez, Xavier Tomás Batllé, Jaume Pomés Talló, Montserrat del Amo Conill" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ana Isabel" "apellidos" => "García Díez" "email" => array:1 [ 0 => "aigarcia@clinic.ub.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Xavier" "apellidos" => "Tomás Batllé" ] 2 => array:2 [ "nombre" => "Jaume" "apellidos" => "Pomés Talló" ] 3 => array:2 [ "nombre" => "Montserrat del" "apellidos" => "Amo Conill" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Radiología, Centro de Diagnóstico por la Imagen Clínic (CDIC), Hospital Clínic, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sacroilíacas: artrosis o artritis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-01-31" "fechaAceptado" => "2008-02-07" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec111999" "palabras" => array:4 [ 0 => "Osteoarthritis" 1 => "Arthritis" 2 => "Sacroiliac joint" 3 => "Diagnostic imaging" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec111998" "palabras" => array:4 [ 0 => "Degeneración" 1 => "Artritis" 2 => "Articulación sacroilíaca" 3 => "Diagnóstico por la imagen" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">One of the most challenging aspects of treating the sacroiliac joint (SIJ) pain is the complexity of diagnosis. Imaging methods have gained importance for the diagnosis of SIJ diseases. CT and MR exams had equal efficacy superior to radiography in staging structural changes in the SIJ due to osteoarthritis or sacroiliitis. The diagnosis of spondyloarthropaty can be delayed for several years using certain radiography studies. MR imaging reveal early cartilage changes and active inflammatory changes in the subchondral bone and surrounding ligaments in spondyloarthropaties, as well as subperiosteal and transcapsular yuxtaarticular infiltrations characteristic of septic sacroiliitis, which could not be found by either CT of radiography. T1-WI with fat suppression (FS) and STIR images improve the demonstration of erosions and inflammatory changes respectively, on MR studies. Additional T1-FS after IV contrast has proven valuable in demonstrating the extension of inflammatory changes and abscesses in septic sacroiliitis, and in spondyloartropaties may be useful although this is debatable. Scintigraphy gives high sensibility only in early inflammatory changes and low specificity for the diagnosis of sacroiliitis due to high bone turnover in the SIJ, although specific radioprobes are useful in confirming the septic etiology and evaluating additional foci. This complex joint of very limited mobility shows a lot of structural variations and some anatomical degenerative changes due to age, which are necessary to know to an adequate image interpretation and diagnosis of disease.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Uno de los principales retos en el tratamiento del dolor de la articulación sacroilíaca (AS) es llegar a un adecuado diagnóstico. Las técnicas por imagen han ganado un gran protagonismo en este aspecto. La tomografía computarizada (TC) y la resonancia magnética (RM) presentan igual eficacia en la detección de cambios estructurales en artrosis y artritis, y ambas son muy superiores a la radiografía simple, la cual puede retrasar el diagnóstico. Además, la RM puede mostrar incipientes cambios en el cartílago y actividad inflamatoria aguda en el hueso subcondral y ligamentos en las espondiloartropatías y las infiltraciones subperiósticas y transcapsulares periarticulares características de la artritis séptica, que no pueden detectarse por TC ni en imágenes radiográficas. Las secuencias potenciadas en T1 con supresión de la grasa y STIR en los estudios de RM son más sensibles para demostrar erosiones y cambios inflamatorios, respectivamente. Las imágenes potenciadas en T1 con supresión de la grasa y tras la administración intravenosa de contraste en las artritis sépticas definirán la extensión de los cambios infecciosos y diferenciarán abscesos; en las espondiloartropatías pueden ser útiles, aunque su uso es controvertido. La gammagrafía ósea es sensible en artritis activas de inicio, pero poco específica debido a la actividad normal de esta articulación, aunque con radiofármacos específicos es útil para confirmar una artritis séptica y descartar otros focos infecciosos. Esta compleja articulación de movilidad limitada muestra un amplio espectro de variaciones y cambios degenerativos a lo largo de la vida, y es necesario conocerlas para facilitar la interpretación de las imágenes y realizar un adecuado diagnóstico de enfermedad.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Note: Section accreditation provided by SEAFORMEC with 11.9 credits. 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Çakir" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheum" "fecha" => "2007" "volumen" => "34" "paginaInicial" => "110" "paginaFinal" => "116" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17216679" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Inflammatory low back pain: high negative predictive value of contrast-enhanced color Doppler ultrasound in the detection of inflamed sacroiliac joints" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Klauser" 1 => "E.J. Halpern" 2 => "F. Frauscher" 3 => "D. Gvozdic" 4 => "C. Duftner" 5 => "P. Springer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/art.21161" "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "2005" "volumen" => "53" "paginaInicial" => "440" "paginaFinal" => "444" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15934066" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000500000001/v1_201305061551/S2173574309700875/v1_201305061551/en/main.assets" "Apartado" => array:4 [ "identificador" => "8414" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Continuing Medical Education" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000500000001/v1_201305061551/S2173574309700875/v1_201305061551/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309700875?idApp=UINPBA00004M" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 19 | 27 |
| 2024 October | 26 | 33 | 59 |
| 2024 September | 38 | 22 | 60 |
| 2024 August | 42 | 40 | 82 |
| 2024 July | 31 | 47 | 78 |
| 2024 June | 50 | 41 | 91 |
| 2024 May | 49 | 37 | 86 |
| 2024 April | 42 | 28 | 70 |
| 2024 March | 36 | 44 | 80 |
| 2024 February | 32 | 25 | 57 |
| 2024 January | 24 | 33 | 57 |
| 2023 December | 30 | 25 | 55 |
| 2023 November | 38 | 30 | 68 |
| 2023 October | 46 | 51 | 97 |
| 2023 September | 31 | 41 | 72 |
| 2023 August | 30 | 19 | 49 |
| 2023 July | 18 | 26 | 44 |
| 2023 June | 20 | 22 | 42 |
| 2023 May | 25 | 11 | 36 |
| 2023 April | 16 | 11 | 27 |
| 2023 March | 30 | 35 | 65 |
| 2023 February | 28 | 33 | 61 |
| 2023 January | 32 | 30 | 62 |
| 2022 December | 34 | 39 | 73 |
| 2022 November | 27 | 38 | 65 |
| 2022 October | 27 | 34 | 61 |
| 2022 September | 27 | 32 | 59 |
| 2022 August | 27 | 49 | 76 |
| 2022 July | 26 | 40 | 66 |
| 2022 June | 24 | 42 | 66 |
| 2022 May | 30 | 41 | 71 |
| 2022 April | 31 | 55 | 86 |
| 2022 March | 27 | 52 | 79 |
| 2022 February | 48 | 40 | 88 |
| 2022 January | 69 | 35 | 104 |
| 2021 December | 23 | 59 | 82 |
| 2021 November | 32 | 59 | 91 |
| 2021 October | 80 | 55 | 135 |
| 2021 September | 46 | 45 | 91 |
| 2021 August | 47 | 55 | 102 |
| 2021 July | 23 | 31 | 54 |
| 2021 June | 30 | 62 | 92 |
| 2021 May | 33 | 38 | 71 |
| 2021 April | 97 | 130 | 227 |
| 2021 March | 51 | 28 | 79 |
| 2021 February | 44 | 29 | 73 |
| 2021 January | 29 | 22 | 51 |
| 2020 December | 38 | 24 | 62 |
| 2020 November | 196 | 16 | 212 |
| 2020 October | 173 | 15 | 188 |
| 2020 September | 19 | 17 | 36 |
| 2020 August | 53 | 16 | 69 |
| 2020 July | 37 | 15 | 52 |
| 2020 June | 39 | 26 | 65 |
| 2020 May | 41 | 23 | 64 |
| 2020 April | 41 | 18 | 59 |
| 2020 March | 13 | 7 | 20 |
| 2020 February | 2 | 0 | 2 |
| 2019 December | 2 | 0 | 2 |
| 2019 August | 1 | 0 | 1 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 2 | 0 | 2 |
| 2018 December | 1 | 0 | 1 |
| 2018 May | 3 | 1 | 4 |
| 2018 April | 29 | 5 | 34 |
| 2018 March | 25 | 11 | 36 |
| 2018 February | 13 | 2 | 15 |
| 2018 January | 8 | 4 | 12 |
| 2017 December | 13 | 6 | 19 |
| 2017 November | 9 | 3 | 12 |
| 2017 October | 14 | 5 | 19 |
| 2017 September | 12 | 18 | 30 |
| 2017 August | 4 | 14 | 18 |
| 2017 July | 11 | 9 | 20 |
| 2017 June | 26 | 21 | 47 |
| 2017 May | 23 | 15 | 38 |
| 2017 April | 16 | 42 | 58 |
| 2017 March | 6 | 48 | 54 |
| 2017 February | 3 | 11 | 14 |
| 2017 January | 19 | 14 | 33 |
| 2016 December | 56 | 15 | 71 |
| 2016 November | 12 | 13 | 25 |
| 2016 October | 29 | 18 | 47 |
| 2016 September | 25 | 15 | 40 |
| 2016 August | 25 | 8 | 33 |
| 2016 July | 14 | 13 | 27 |
| 2016 April | 1 | 0 | 1 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 2 | 0 | 2 |
| 2015 July | 20 | 5 | 25 |
| 2015 June | 16 | 82 | 98 |
| 2015 May | 28 | 136 | 164 |
| 2015 April | 15 | 159 | 174 |
| 2015 March | 19 | 131 | 150 |
| 2015 February | 14 | 114 | 128 |
| 2015 January | 13 | 142 | 155 |
| 2014 December | 23 | 95 | 118 |
| 2014 November | 13 | 125 | 138 |
| 2014 October | 14 | 126 | 140 |
| 2014 September | 16 | 149 | 165 |
| 2014 August | 16 | 141 | 157 |
| 2014 July | 19 | 143 | 162 |
| 2014 June | 37 | 122 | 159 |
| 2014 May | 22 | 84 | 106 |
| 2014 April | 30 | 77 | 107 |
| 2014 March | 43 | 60 | 103 |
| 2014 February | 28 | 55 | 83 |
| 2014 January | 26 | 59 | 85 |
| 2013 December | 19 | 46 | 65 |
| 2013 November | 16 | 54 | 70 |
| 2013 October | 41 | 64 | 105 |
| 2013 September | 30 | 62 | 92 |
| 2013 August | 21 | 69 | 90 |
| 2013 July | 31 | 72 | 103 |
| 2013 June | 20 | 79 | 99 |
| 2013 May | 21 | 80 | 101 |
| 2013 April | 18 | 66 | 84 |
| 2013 March | 19 | 65 | 84 |
| 2013 February | 32 | 41 | 73 |
| 2013 January | 26 | 21 | 47 |
| 2012 December | 21 | 33 | 54 |
| 2012 November | 12 | 36 | 48 |
| 2012 October | 9 | 25 | 34 |
| 2012 September | 10 | 4 | 14 |
| 2012 July | 1 | 0 | 1 |
| 2012 May | 4 | 0 | 4 |
| 2012 April | 3 | 0 | 3 |
| 2012 March | 6 | 0 | 6 |
| 2012 January | 5 | 0 | 5 |
| 2011 December | 2 | 0 | 2 |
| 2011 November | 6 | 0 | 6 |
| 2011 October | 3 | 0 | 3 |
| 2011 September | 3 | 0 | 3 |
| 2011 August | 2 | 0 | 2 |
| 2011 June | 4 | 0 | 4 |
| 2011 April | 1 | 0 | 1 |
| 2011 March | 2 | 0 | 2 |
| 2011 February | 8 | 0 | 8 |
| 2011 January | 4 | 0 | 4 |
| 2010 December | 5 | 0 | 5 |
| 2010 November | 7 | 0 | 7 |
| 2010 October | 4 | 0 | 4 |
| 2010 September | 4 | 0 | 4 |
| 2010 August | 4 | 0 | 4 |
| 2010 July | 4 | 0 | 4 |
| 2010 June | 1 | 0 | 1 |
| 2010 May | 4 | 0 | 4 |
| 2010 March | 10 | 0 | 10 |
| 2010 February | 4 | 0 | 4 |
| 2010 January | 3 | 0 | 3 |
| 2009 December | 18 | 0 | 18 |
| 2009 November | 7 | 0 | 7 |
| 2009 October | 15 | 0 | 15 |
| 2009 September | 15 | 0 | 15 |
| 2009 August | 10 | 0 | 10 |
| 2009 July | 26 | 0 | 26 |
| 2009 June | 29 | 0 | 29 |
| 2009 May | 3 | 0 | 3 |
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