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Inthissacroiliacjointdisorder,whyistheiliacsidemoreseverelyinvolved?

此例骶髂关节紊乱，为什么髂骨侧的病变更严重？

2.Whatinflammatoryboweldiseasesmaybeassociatedwiththisdisorder?

哪些肠道的炎性疾病与本病有关？

3.Regardingsacroiliacjointankylosis,whichpatientismorelikelytodevelopit—onewithenteropathicdisease,psoriasis,orReitersyndrome?

肠炎、银屑病、Reiter综合征中，哪一种会使强制性脊柱炎进一步发展？

4.Whatisthesecondfilmprojectioncalled?Howisitperformed?

第二幅图是什么片？怎么拍的？

Sacroiliitis

Theiliumhasthinnercartilagethanthesacrum,andalsocontainsdegenerativecleftsandperpendicularsplitsinthecartilage.

髂骨侧的软骨比骶骨侧更薄，且有退行性裂和软骨垂直裂隙。

2.UlcerativecolitisandCrohn’sdiseasearetheclassicdiseasesbutWhipple’sdisease,infectiouscolitiswithSalmonella,Shigella,andYersinia,andintestinalbypasssurgerymayalsobeassociatedwithsacroiliitis.

溃疡性结肠炎和克隆氏病是最经典的肠道炎性病变。Wipple病，沙门氏菌、志贺氏菌、耶尔森氏菌感染，以及肠道旁路手术也可能与骶髂关节炎有关。

3.Onewithenteropathicsacroiliitis.

强制性脊柱炎合并肠炎型骶髂关节炎

4.AFergusonview.APradiographofthepelviswiththetubeangulated25to30degreesinacephaladdirection.、

弗格森位。球管向头侧倾斜25~30度的骨盆前后位。

References

BattistoneMJ,ManasterBJ,RedaDJ,CleggDO:Radiographicdiagnosisofsacroiliitis—aresacroiliacviewsreallybetter?JRheumatol25:–,.

OostveenJ,PrevoR,denBoerJ,vandeLaarM:Earlydetectionofsacroiliitisonmagneticresonanceimagingandsubsequentdevelopmentofsacroiliitisonplainradiography:Aprospective,longitudinalstudy.JRheumatol26:–,.

Cross-Reference

MusculoskeletalImaging:THEREQUISITES,3rded,pp–

Comment

Theprincipalobservationwhenevaluatingsacroiliitisisthedistributionofthedisease.Typically,thesynovialportionofthesacroiliacjoint,foundintheinferioronehalftotwothirdsofthejointonfrontalradiographs,ismoreseverelyinvolvedthantheligamentousportion.Erosionsinvolvingthesynovialarticulationaffecttheiliacsidemorethanthesacralarticulation.Inankylosingspondylitis,thediseaseisgenerallybilateralandsymmetricindistribution.Sacroiliitisassociatedwithinflammatoryboweldiseaseisusuallybilateralandsymmetricindistributionandcannotbedifferentiatedfromankylosingspondylitis.PsoriaticarthropathyandReitersyndromeresultinosseouserosionsandbonysclerosisthataresimilartothoseseeninankylosingspondylitis,althoughankylosisisless