Morimoto Daijiro, Isu Toyohiko, Kim Kyongsong, Matsumoto Ryoji, Isobe Masanori
Department of Neurosurgery, Kushiro Rosai Hospital, Hokkaido.
J Nippon Med Sch. 2011;78(4):257-60. doi: 10.1272/jnms.78.257.
A 25-year-old woman and a 31-year-old man presented with chronic lower back pain and unexplained lower abdominal pain. Both patients had groin tenderness at the medial border of the anterior superior iliac spine. The results of radiographical and physical examinations suggested sacroiliac joint dysfunction. Sacroiliac joint injection relieved their symptoms, including groin tenderness. In our experience, groin tenderness is highly specific for sacroiliac joint dysfunction. We speculate that spasm of the iliac muscle can cause groin pain and tenderness. Groin pain and a history of unexplained abdominal pain, with lower back pain, are symptoms that suggest sacroiliac joint dysfunction. Additionally, compression of the iliac muscle is a simple and useful maneuver; therefore, it can be used as a screening test for sacroiliac joint dysfunction, alongside other provocation tests.
一名25岁女性和一名31岁男性出现慢性下背痛及不明原因的下腹痛。两名患者在髂前上棘内侧缘均有腹股沟压痛。影像学和体格检查结果提示骶髂关节功能障碍。骶髂关节注射缓解了他们的症状，包括腹股沟压痛。根据我们的经验，腹股沟压痛对骶髂关节功能障碍具有高度特异性。我们推测髂肌痉挛可导致腹股沟疼痛和压痛。腹股沟疼痛以及不明原因的腹痛病史伴下背痛，是提示骶髂关节功能障碍的症状。此外，髂肌挤压是一种简单且有用的手法；因此，它可与其他激发试验一起用作骶髂关节功能障碍的筛查试验。
