- 期刊
骨盆帶異常時止痛步態探討：兩病例報告
Antalgic Gait of the Pelvic Girdle Dysfunction: Two Cases Report
摘要
骨氏髂關節功能不良是引起下背痛常見原因，它是一個非承重關節，吸收來自各方向力量，骨氏骼關節化膿性感染(pyogenic infection)，形成髖關節可動性減少，且骨盆受壓擠時造成疼痛。本文報告兩病例其臨床症狀均以止痛步態為表現，但其引起之原因則不同，其中一例初始症狀無法步行(locomotion)，有嚴重跛行(limping)，初診為腰椎間盤脫出症，經臨床評估為細菌性關節炎。另外一例則是初始症狀極類似神經性之止痛步態，最後證實為骼腰肌膿瘍。 由於兩例均以止痛步態為表現，故嘗試以慣性組織(inert tissue)與收縮性組織(contractile tissue)來探討止痛態之機轉。
並列摘要
The dysfunction or pathomechanics of sacroiliac joint is a common cause of low back pain. The sacroiliac joints are nonweight bearing joints that function to absorb forces from various directions. Pyogenic infection of the sacroiliac joint resulted in limited hip mobility and pain when the peivis was compressed. The first case was diagnosed as septic arthritis and reported. Infectious processes in the retroperitoneal space often involve the iliopsoas muscle. The infection usually is secondary to other intra-abdominal or intra-pelvic inflammatory processes However they rarely arise primarily within the retroperitoneum. These primary infections occur most often in younger patients and usually will demonstrate a chronic iilness and the diagnosis is often missed. The second case that initially diagnosed as sacroiliac joint disease, but was latter on discovered to be iliopson abacess.