Osteitis condensans ilii

A 52-year-old female complained of intermittent low back pain of varying severity radiating to the right thigh for three years. The pain was more frequent in the cold season and increased after exertion. She underwent a hysterectomy 12 years ago for dysmenorrhoea. Laboratory investigations, including inflammatory markers, were normal. Her X-ray and MRI showed well-defined areas of sclerosis around sacroiliac joints. There was no sacroiliitis.

Osteitis condensans ilii is a benign condition more common in obese multiparous females. Low back pain radiating to the buttocks is a common feature. Pain is usually exacerbated by activity and relieved by rest. Back pain may be milder in some cases. X-ray shows bilateral symmetric sclerosis on the iliac sides of sacroiliac joints. The sclerosis is triangular, with the base pointing inferiorly. Sacroiliitis needs to be differentiated by clinical examination and MRI in doubtful cases. Similar changes can occur at other sites, such as pubic bones and the medial end of the clavicle. The condition may resolve spontaneously, or the X-ray picture may change from time to time. Therapy consists of posture correction and active exercises for 6-12 months. A few nonresponsive cases may require sacroiliac fusion surgery.

Arthritis- Incidence and Measures (Abridged)
संधिवाताचा हत्ती
Why Rheumatology?
ह्रुमॅटॅालॅाजी कशासाठी?
Arthritis – Introduction
संधिवाताची ओळख
Osteoarthritis
झिजेचा संधिवात
Rheumatoid Arthritis
आमवाताची सूज
Gout
गाउट - विंचू चावला हो
Chikungunya Arthritis
चिकुनगुन्या
Back pain
पाठ दुखी
©2023 arthritis-india.com | designed & developed by SSPL
©2023 arthritis-india.com | designed & developed by SSPL