scholarly journals Superior cluneal nerve neuropathy: unsolved issues of radiodiagnostics

2021 ◽  
pp. 12-18
Author(s):  
A. M. Yurkovskiy ◽  
A. S. Melnikova ◽  
I. V. Nazarenko ◽  
E. I. Pismennikova

Objective: to systematize and analyze data on the anatomical and morphological characteristics of the superior cluneal nerves and to consider the potential of the application of medical imaging techniques for the diagnosis of their damage.Materials and methods. We studied original publications deposited in PubMed resources and the information portal eLIBRARY.RU which contained information on the application of imaging techniques for the diagnosis of superior cluneal nerve neuropathy.Results. The work highlights the most important aspects relating to the potential of the application of imaging techniques in the diagnosis of superior cluneal nerve neuropathy.Conclusion. Modern methods of radiodiagnostics make it possible to provide visualization of superior cluneal nerve neuropathy. However, the lack of reliable diagnostic criteria does not allow of trustworthy diagnosis of this pathology and, accordingly, of verification of associated low back pain cases.

2017 ◽  
pp. 4-7
Author(s):  
I. V. Nazarenko

Objective: to systematize the data on the possibility of application of imaging techniques for the diagnosis of ligamentosis of the long dorsal sacroiliac ligament. Materials. Publications containing information about the use of imaging techniques for the diagnosis of ligamentosis of the long dorsal sacroiliac ligament deposited in PubMed resources and information portal eLIBRARY.RU. Results. The work has sorted out the most important aspects regarding the possibility of application of imaging techniques for the diagnosis of ligamentosis of the long dorsal sacroiliac ligament. Conclusion. Modern methods of X-ray diagnostics are able to provide visualization of the posterior long sacroiliac ligaments, but the absence of reliable diagnostic criteria does not make it possible to diagnose degenerative changes (ligamentosis) confidently and, accordingly, to verify the related cases of lower back pain syndrome.


2020 ◽  
Vol 21 (11-12) ◽  
pp. 1138-1148 ◽  
Author(s):  
John D. Markman ◽  
Katarzyna Czerniecka-Foxx ◽  
Partap S. Khalsa ◽  
Salim Michel Hayek ◽  
Anthony L. Asher ◽  
...  

Author(s):  
Daniel Kline ◽  
Michael DePalma

This chapter focuses on the diagnosis and treatment of discogenic low back pain. Discogenic low back pain is a prevalent condition that affects a large percentage of the adult population. Diagnosis and treatment of this condition remain challenging despite ongoing advances. Provocation lumbar discography has allowed for more accurate identification of painful discs than conventional imaging techniques. Current research focusing on regenerative treatment options may hold promise for the future.


2018 ◽  
Vol 38 (02) ◽  
pp. 125-131 ◽  
Author(s):  
Mantana Vongsirinavarat ◽  
Wahyuddin Wahyuddin ◽  
Ratchaneewan Adisaiphaopan

Background: Low back pain (LBP) with facet joint origin is a common diagnosis of patients referred to physical therapy clinic. An expert consensus of diagnostic criteria has been proposed. However, the reliability of the assessment has not been proved. Objective: To test the degrees of agreement between two physical therapists for nine physical examination items and the diagnosis of facet joint origin. Methods: The examination according to diagnostic criteria was performed independently by two physical therapists in 45 patients with chronic LBP. The percent agreements and Kappa coefficients of each examination item and diagnostic conclusion were calculated. Results: The percent agreements of nine examined items ranged from 73.3–91.1%. The Kappa coefficients, widely ranged from 0.250–0.690 ([Formula: see text] to [Formula: see text]), showed statistically significant agreements for all examination items. The low level of agreements was partly due to improper distributions of test results. The agreement of conclusion was 86.7% and Kappa coefficient was 0.492 ([Formula: see text]) which reflected good agreement of facet diagnosis. Conclusion: There were adequate agreements for clinical examination of LBP with facet joint origin. The low level of agreement suggested the clinicians to have operational definition and rigorous training sessions although the examinations seemed to be routinely performed.


2019 ◽  
Vol 10 (7) ◽  
pp. 1003
Author(s):  
Mahmoud Ramadan Adly ◽  
Ahmed Hossameldin Hussein ◽  
Omyma Sayed Mahmoud

2020 ◽  
pp. 427-433
Author(s):  
Neha Singh ◽  
Deepak Kumar Singh

Background: Low back pain (LBP) is a frequent cause of global disability and activity limitation. In the majority of cases, LBP is nonspecific, yet diagnostic confirmation is required to rule out serious underlying pathologies such as infection, tumour, fracture or degenerative disease. It can be done by a number of imaging techniques. Of all available techniques, MRI is currently the imaging modality of choice owing to lack of radiation, multiplanar reformation capabilities and high contrast resolution. Objectives: To determine various MRI patterns and the common sites of spinal degenerative lesions among patients with LBP. Method: This study was conducted on 622 patients suffering from non-traumatic LBP, referred for MRI of the lumbar spine. MRI database of the study population were analysed using axial T2-weighted, sagittal STIR, T1and T2-weighted and coronal STIR images. After excluding patients with h/o prior surgery and MR findings suggesting infective or neoplastic etiologies, 598 patients constituted the sample size of our study. Results: A review of 598 patients with LBP revealed that degenerative changes in intervertebral disc were the most common abnormality detected. Among these, Disc bulge was the most common abnormality followed by disc desiccation, protrusion, extrusion, HIZ/annular tear, reduced IVD space and Schmorl’s nodes. Other non- disc degenerative findings were Modic endplate changes, facet joint arthropathy, osteophytes, Spinal canal stenosis and Ligamentum Flavum hypertrophy. Conclusions: Results reported the common occurrence of lumbar disc degenerative disease in patients with low backache. Research efforts should attempt to trim down risk factors and perk up the quality of life.


Sign in / Sign up

Export Citation Format

Share Document