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Pediatric Sacroiliitis M46.1 720.2

 

synonyms:

Pediatric Sacroiliitis ICD-10

Pediatric Sacroiliitis ICD-9

  • 720.2 Sacroiliitis, not elsewhere classfied

Pediatric Sacroiliitis Etiology / Epidemiology / Natural History

  • Generally Staph aureus

Pediatric Sacroiliitis Anatomy

Pediatric Sacroiliitis Clinical Evaluation

  • Progressive buttock pain and limping.
  • Fever
  • Tenderness in SI joint.
  • Pain with FABER test (placing leg in figure-4 position).

Pediatric Sacroiliitis Xray / Diagnositc Tests

  • Xray: generally normal
  • Bone Scan (Techntium 99): demonstrated increased uptake in SI joint. May occasional gi ve false-negative result. If scan is demonstrates bilateral involvement and there is no leukocytosis or fever condition is likely not from an infectous etiology.
  • CBC, ESR, CRP indicated. Makers should be elevated indicating an active inflammartory process. Consider blood cultures.
  • Needle aspiration of the SI joint is difficult.

Pediatric Sacroiliitis Classification / Treatment

Pediatric Sacroiliitis Associated Injuries / Differential Diagnosis

Pediatric Sacroiliitis Complications

Pediatric Sacroiliitis Follow-up Care

Pediatric Sacroiliitis Review References

  • aprin H, CORR 1993;287:98
  • Osman AA, CORR 1995;313:214
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