ArticleRheumatology advances in practice2025
Bone marrow oedema of the sacroiliac joint without spondyloarthritis: a retrospective study of 34 cases of osteitis condensans ilii.
Article in Rheumatology advances in practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Imaging characteristics of osteitis condensans ilii. A follow-up study.Skeletal radiology · 2026Article
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Abstract
Objective: To determine the prevalence of bone marrow oedema (BME) in osteitis condensans ilii (OCI) on MRI of the sacroiliac joint (SIJ). Secondary objectives include comparisons of socio-demographic characteristics, prevalence of other imaging features (MRI, CT scan), and low back pain in patients with OCI with those in a sex- and age-matched control group. Methods: A total of 34 patients with OCI, including 29 with MRI, were recruited for retrospective analysis. The SIJ MRIs were retrospectively analysed by two readers. A sex- and age-matched control group of patients without SIJ disorders was included. In both groups, the presence of structural bone abnormalities was assessed by CT scan analysis, and socio-demographic data were obtained by telephone questionnaire. A longitudinal analysis was conducted on patients who had undergone multiple imaging examinations. Results: All patients were female with a mean age of 34 years. BME was observed in 66% (19/29) of OCI patients. BME in OCI was mainly located in the anterior-middle quadrant (43.48%). OCI patients had significantly more than one delivery ( Conclusion: OCI is an entity found in both pregnant and non-pregnant young women. SIJ BME was found in two-thirds of OCI patients. OCI is a significant cause of BME and should be carefully considered by clinicians when dealing with a patient with low back pain in order to avoid misdiagnosing spondyloarthritis in the presence of BME of the SIJ.
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