Osteitis condensans ilii (OCI) is a noninflammatory condition of no clear etiology, cause of axial low back pain. It is characterized by sclerotic bone lesions at the iliac region of the sacroiliac joints. The diagnosis is based on radiological findings and the exclusion of other conditions associated with back pain. We present a case of bilateral OCI in a young woman with bone sclerosis at sacroiliac joints diagnosed with the use of Dual Energy CT.
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[Case of osteitis condensans ilii].
Zhongguo Zhen Jiu
January 2025
Department of Acupuncture and Moxibustion, Wuxi Municipal Hospital of TCM, Wuxi 214100, Jiangsu Province, China.
The paper reports one case of osteitis condensans ilii treated with acupuncture in the young and middle-aged female patient. Based on the "analogy" thinking, bilateral Chengshan (BL57) and Ximen (PC4) were selected. The short needling was delivered at Chengshan (BL57), in which, the needle tip went directly to the bone surface and the needle was lifted and thrusted to induce the tolerable sensation.
View Article and Find Full Text PDFExploring Diagnostic Complexities: A Case Report of Osteitis Condensans Ilii and Osteitis Pubis.
Cureus
August 2024
Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Article Synopsis
- - Osteitis condensans ilii (OCI) is a rare, benign cause of lower back pain mainly seen in women, often mistaken for sacroiliac joint issues, but it typically resolves on its own after childbirth.
- - Osteitis pubis is an inflammatory condition causing pain in the pubic area, often resulting from trauma, surgery, or intense physical activity, and can occur alongside OCI.
- - A case study involving a 21-year-old female highlights the use of MRI to diagnose both OCI and osteitis pubis, showing distinct imaging characteristics, but no specific treatment exists—only lifestyle changes may help manage symptoms and prevent recurrence.
The role of sacro-iliac joint magnetic resonance imaging in the diagnosis of axial spondyloarthritis: focus on differential diagnosis in women.
Reumatismo
September 2024
Radiology Unit, Azienda USL-IRCCS di Reggio Emilia.
Article Synopsis
- The text talks about how MRI is used to help doctors find out if someone has a disease called axial spondyloarthritis (AxSpA), especially looking at differences between men and women.!
- It explains that MRI can detect early signs of this disease, like swelling in the bones, and lists important procedures that need to be followed when doing the MRI.!
- The article also mentions that different factors, like being pregnant or having back pain, can make it harder to diagnose, so doctors need to look at all the information together to make the right decision.!
Imaging of Sacroiliac Pain: The Current State-of-the-Art.
J Pers Med
August 2024
Rheumatology Unit, "Carlo Urbani" Hospital, Università Politecnica delle Marche, 60035 Jesi, Italy.
Article Synopsis
- * Accurate diagnosis of SI joint issues usually requires advanced imaging techniques like MRI or CT, as conventional radiography may not provide enough detail due to the joint's complex anatomy.
- * The text also highlights how different conditions can mimic each other on imaging, discusses the importance of lesion distribution for diagnosis, and outlines treatment strategies for inflammatory back pain.
Diagnostic features of osteitis condensans ilii by MRI-a systematic literature review.
Skeletal Radiol
August 2024
Department of Radiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus, 8200 Aarhus N, Denmark.
Objective: To describe and evaluate the current knowledge of MRI characteristics of osteitis condensans ilii (OCI) in the diagnostics and differentiation of OCI from other conditions.
Materials And Methods: The databases PubMed, EMBASE, Scopus, and Web of Science were searched from their inception to March 2024 using the search terms "Magnetic Resonance Imaging" (MESH term in PubMed) and "osteitis condensans ilii" and limited to English language. Two reviewers independently screened titles, abstracts, and full-text eligibility and assessed the risk of bias according to Quality Assessment of Diagnostic Accuracy Studies, QUADAS-2.
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