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천장관절 후하연의 표면해부학적 위치 분석

Other Titles
 An Analysis of the Surface Anatomical Location of the Posterior-inferior Margin of the Sacroiliac Joint 
Authors
 조광연  ;  김범수  ;  김원옥  ;  윤덕미  ;  윤경봉 
Citation
 KOREAN JOURNAL OF PAIN, Vol.22(1) : 47-51, 2009 
Journal Title
 KOREAN JOURNAL OF PAIN 
ISSN
 2005-9159 
Issue Date
2009
Keywords
sacroiliac joint ; surface anatomy
Abstract
Background: The blind sacroiliac joint (SIJ) block cannot always be performed accurately; it is commonly performed in the office based setting because intraarticular and periarticular injections are effective for SIJ pain. However, knowledge on the surface anatomy of the SIJ is lacking. The purpose of this study was to analyze the surface anatomical location of the posterior-inferior margin of the SIJ. Methods: After informed consent was obtained, fifty patients undergoing SIJ block in the prone position were examined. The oblique angles where the anterior-inferior margin and the posterior-inferior margin of the SIJ overlap on X-ray were evaluated. In addition, the surface anatomical relationships between the posterior-inferior margin of the SIJ on X-ray and the posterior superior iliac spine (PSIS) and sacral hiatus by palpation were assessed. Results: The oblique angle was 5.4 ± 2.9o. The vertical and transverse distance between the posteriorinferior margin of the SIJ and PSIS were 3.8 ± 0.8 cm and 0.9 ± 0.6 cm, respectively. The vertical and transverse distance between the posterior-inferior margin of the SIJ and the midpoint of the sacral hiatus were 3.4 ± 0.7 cm and 3.9 ± 0.6 cm, respectively. Only the vertical distance between the posterior-inferior margin of the SIJ and PSIS showed significant difference between the male and the female groups (P = 0.0016). Conclusions: The measurements in this study can be used as a reference standards for the blind SIJ block.
Files in This Item:
T200901154.pdf Download
DOI
10.3344/kjp.2009.22.1.47
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Oak(김원옥)
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Yoon, Duck Mi(윤덕미)
Cho, Kwang Yeon(조광연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103810
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