Objective: Determine the prevalence of the accessory sacroiliac joint in the pediatric population and describe variant sacroiliac joint morphology that may predispose patients to the development of an accessory sacroiliac joint.
Materials And Methods: One hundred and seventy-eight high-resolution pelvic CT scans of patients aged 0 to 15 years were reviewed for the presence of an accessory sacroiliac joint. Patients were stratified based on age and gender. Morphology of the sacroiliac joints was detailed to assess the degree of curvature in the expected characteristic location of the accessory sacroiliac joint.
Results: No accessory sacroiliac joint was identified on any of the pediatric pelvic CT scans. The sacroiliac joints demonstrated varying degrees of unilateral or bilateral curvature in the expected region of the accessory sacroiliac joint which increased in both severity and prevalence with age.
Conclusion: The pediatric accessory sacroiliac joint may not exist and is unlikely to be a congenital variant present at birth. However, curvature of the sacroiliac joint in the expected location of the accessory sacroiliac joint which increases in severity and prevalence with age may predispose patients to the formation of an accessory sacroiliac joint later in life.
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http://dx.doi.org/10.1007/s00256-020-03608-4 | DOI Listing |
Skeletal Radiol
March 2024
Department of Radiology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Objective: To determine the prevalence of sacroiliac joint variants in patients with axial spondyloarthritis (axSpA) using MRI-based synthetic CT images and to evaluate their relationships with the presence of bone marrow edema, as this may potentially complicate diagnosing active sacroiliitis on MRI in patients with suspected axSpA.
Methods: 172 patients were retrospectively included. All patients underwent MRI because of clinical suspicion of sacroiliitis.
Semin Musculoskelet Radiol
April 2023
Department of Musculoskeletal Imaging, University of Lille, CHU Lille, Lille, France.
Anatomical variants are frequently encountered when assessing the sacroiliac joints (SIJ) using magnetic resonance imaging. When not located in the weight-bearing part of the SIJ, variants associated with structural and edematous changes can be misinterpreted as sacroiliitis. Their correct identification is necessary to avoid radiologic pitfalls.
View Article and Find Full Text PDFDiagn Interv Radiol
March 2023
Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Purpose: Apart from a few case reports, sacroiliac joint (SIJ) involvement in osteochondromatosis has not been studied. We aimed to determine the prevalence and characteristics of such involvement using cross-sectional imaging.
Methods: In this retrospective study, three observers (one junior radiologist and two musculoskeletal radiologists) independently reviewed computed tomography (CT) or magnetic resonance imaging (MRI) of patients in our database who had osteochondromatosis (≥2 osteochondromas across the skeleton) for SIJ involvement.
Insights Imaging
February 2023
Department of Radiology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Background: Synthetic computed tomography (sCT) images are magnetic resonance imaging (MRI)-based images, generated using artificial intelligence. This study aimed to determine the prevalence of anatomical variants of sacroiliac joints (SIJ) on sCT images and the correlation with age, sex and body weight.
Methods: MRI of the SIJ including sCT images of 215 patients clinically suspected for sacroiliitis were retrospectively analyzed.
Skeletal Radiol
July 2023
Department of Radiology, Mayo Clinic, Rochester, MN, USA.
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