Sacroiliac - inflammation in the sacroiliac joint. Depending on the etiology there are infectious and aseptic sacroileitis. Infectious sacroileitis downstream can be acute or chronic.
Acute purulent sacroiliac may occur when osteomyelitis, the breakthrough of a purulent focus of bone or a consequence of direct infection when the outdoor injury. More often one-sided and is characterized by a turbulent flow with a high fever, pain in the lower abdomen on the affected side of the pelvis. It often purulent leakages (see). Treatment: antibiotics (penicillin, streptomycin and other intramuscularly), the collection of pus - opening and drainage of purulent cavities.
Chronic sacroileitis are more common acute and are mainly tuberculosis and brucellosis etiology. The latter often are bilateral. Chronic sacroiliac is manifested by pain, similar to the case of sciatica pain (see), making walking and prolonged standing. In the study of patient presents a pain in the sacroiliac joint compression and tension of the wings of the basin, with maximum flexion of the hip and leg on the affected side and the other leg straight, with finger examination of the rectum with pressure on the area of the joint. Tuberculosis sacroiliac sometimes gives matecznik (see) on the back of the thigh.
The diagnosis of chronic sacroileitis is made on the basis of clinical data and x-ray studies, identifying the signs of defeat sacroiliac joint. When the brucellosis sacroileitis helps the diagnosis of positive serological reaction to brucellosis.
Treatment of chronic sacroileitis mostly conservative - specific antibacterial treatment (see Brucellosis, Tuberculosis of bones and joints); in tuberculous sacroileitis - plaster immobilization cot, in some cases, surgical treatment with resection of the sacroiliac joint.
Aseptic sacroiliac flows chronically type of osteoarthritis (see) and is often accompanied by various deformation of the pelvis, lower extremities, spine, constantly meets with ankylosing spondylitis. Treating avascular sacroileitis - eliminating the causes of disease and physiotherapy treatments.