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Isolated lesions of the manubriosternal joint in patients with inflammatory back pain and negative sacroiliac and spinal radiographs.

The prevalence of radiological lesions of the manubriosternal joint was assessed in 151 patients with chronic inflammatory back pain and in 31 controls with non-inflammatory back pain. Nineteen out of these 151 patients and none of the controls showed unequivocal lesions of the manubriosternal joint without accompanying radiological lesions of the sacroiliac joints or the lumbar spine. Thoracic pain and stiffness were present in 7 out of the 19 patients and in 3 out of the 31 controls (P less than 0.05); peripheral enthesopathy was present in 10 out of the 19 patients and in 4 out of the 31 controls (P less than 0.01); none of the patients or controls had rheumatoid factor, subcutaneous nodules, or peripheral arthritis. The suggestion of a "manubriosternal joint syndrome" is warranted by these findings.

Adult↗

Biomechanical testing of new and old fixation devices for vertical shear fractures of the pelvis.

Malgaigne fractures of the pelvis have been treated with many different methods of fixation. We developed a plate for use on the anterior aspect of the sacroiliac (SI) joint using information obtained from cadaveric dissections and computed tomography (CT) scans of male (50) and female (50) pelvises. We tested each of six pelvises in the Instron, with five different fixation systems. Our results showed that the weakest system was the anterior quadrilateral frame plus two symphyseal plates. When comparing three posterior screws with the SI joint plate, the difference was not statistically significant. However, in both of these systems, a second symphyseal plate added to the overall stability.

Biomechanical Phenomena↗

Critical notes on the technique of Doppler imaging of vibrations (DIV).

Buyruk et al. (1995a) have developed a noninvasive technique, Doppler imaging of vibrations (DIV), to measure objectively the laxity of the sacroiliac (SI) joints. The purpose of the present article was to review this technique. Therefore, all the articles about DIV were carefully studied. The reliability of the technique has been determined by the generalisability theory and seems to be good. The technique has also proven its clinical relevance. However, a thorough study into the validity of the technique is still missing. Such study is considered necessary because relevant assumptions in DIV appear generally not to be correct. Conclusions from the measurements with DIV so far should be drawn with great care.

Female↗