Orthopedics Articles

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Sweeting RC - Following Mixter and Barr's description of the herniated lumbar disc and it's subsequent excision, the possible involvement of the sacroiliac joint as a source of low back pain has tended to be overlooked. However a review of 1294 patients presenting with low back pain by Bernard and Kirkaldy-Willis determined that 22.5% of these patients had symptoms originating in the sacroiliac joint.1 It would seem that interest in the sacroiliac joint as a source of low back pain would appear to be undergoing a resurgence with the recognition of ligament strains - generally with a fixed mal-position after injury or, alternatively, demonstrable instability of the joint. For the latter, women in their childbearing years would appear to be particularly susceptible following rear-end motor vehicle collisions.


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