The value of medical history and physical examination in diagnosing sacroiliac joint pain
The value of medical history and physical examination in diagnosing sacroiliac joint pain
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DOI：
10.1097/00007632-199611150-00009
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发表时间：
1996-11-15
期刊：
影响因子：
3
通讯作者：
Bogduk, N
中科院分区：
文献类型：
--
作者：
Dreyfuss, P;Michaelsen, M;Bogduk, N
研究设计。这项前瞻性研究评估了历史上接受的骶髂关节测试的诊断效用，多学科专家小组推荐了 12 种或“最佳”骶髂关节测试，以在骶髂关节关节内注射局麻药后明确疼痛缓解的标准进行评估。 目的。确定在诊断骶髂关节疾病方面足够有用且具有临床价值的单个骶髂关节测试或一组测试。背景数据摘要。之前还没有研究根据公认的标准来评估骶髂关节疼痛的任何物理测试。方法。获得了历史数据，这 12 项测试由两名检查者对 85 名随后接受骶髂关节阻滞的患者进行。百分之九十或以上的缓解被认为是积极反应，低于 90% 的缓解被认为是消极反应。 结果。有 45 例阳性反应和 40 例阴性反应，无历史特征，12 项骶髂关节测试均无，并且这 12 项测试的整体均未表现出有价值的诊断价值。结论。骶髂关节疼痛难以通过本研究评估的测试的历史和体检数据来识别。
Study Design. This prospective study evaluated the diagnostic utility of historically accepted sacroiliac joint tests, A multidisciplinary expert panel recommended 12 or the ''best'' sacroiliac joint tests to be evaluated against a criterion standard of unequivocal pain relief after an intra-articular injection of local anesthetic into the sacroiliac joint.Objectives. To identify a single sacroiliac joint test or ensemble of tests that are sufficiently useful in diagnosing sacroiliac joint disorders to be clinically valuable.Summary of Background Data. No previous research has been done to evaluate any physical test of sacroiliac joint pain against an accepted criterion standard.Methods. Historical data was obtained, and the 12 tests were performed by two examiners 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.Results. 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.Conclusion. Sacroiliac joint pain is resistant to identification by the historical and physical examination data from tests evaluated in this study.