Influence of age on sacroiliac joint uptake ratios.
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Steroid joint injections may be effective in painful joints due to degenerative disease and posttraumatic changes, as well as rheumatoid arthritis and seronegative spondylarthropathy. Fluoroscopic guidance may be necessary for deep (sacroiliac, hip, and shoulder) or small (wrist, hand, and foot) joints. Detailed technique of the steroid injection is given, especially for the sacroiliac joint.
The present report describes the first case of primary hyperparathyroidism with monolateral sacroiliac ankylosis assessed by coronal CT scans. The coexistence of ankylosis with erosive changes, without features of spondyloarthritis or degenerative changes, could be related to hyperparathyroidism.
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Between the ages of 12 and 18 years apophyseal elements appear within the SI joints which fuse subsequently with the sacrum. These apophyses could be demonstrated during two autopsies on juveniles and were seen in 7 CT examinations of patients between the ages of 15 and 19. On CT they appeared as narrow, round or band-like opacities situated on the ventral aspect of the joint. The differentiation of these normal findings from pathological changes within the SI joints is discussed.
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