Mollica Q, Ardito S, Russo T C
Ital J Orthop Traumatol. 1986 Dec;12(4):467-71.
In cases presenting with abdominal pain in which the clinical findings and investigations are negative there is often associated dorsolumbar pain. The pathology in such cases often resides in the posterior apophyseal spinal joints, which should therefore be investigated as follows: a) Clinical. The abdomen is examined for areas of hypoaesthesia. The level of vertebral anomaly and related referred pain are determined using the Maigne test. b) The affected area of the spine is investigated by standard and dynamic radiographs and CT scan for evidence of transitional anomalies or signs of instability. Is should be noted that in many cases these tests are negative. Local infiltration of the posterior joints has given satisfactory results, as also has manipulation in some cases. The temporary use of a lumbar support and physiotherapy is advised to prevent recurrence.
在临床表现和检查均为阴性但伴有腹痛的病例中，常伴有腰背部疼痛。此类病例的病变往往位于脊柱后突关节，因此应按以下方法进行检查：a) 临床检查。检查腹部有无感觉减退区域。使用迈涅试验确定椎体异常水平及相关牵涉痛。b) 对脊柱受累部位进行标准及动态X线片和CT扫描，以寻找移行异常或不稳定迹象。应注意，在许多情况下这些检查结果为阴性。后关节局部浸润取得了满意效果，在某些情况下手法治疗也有效果。建议临时使用腰部支撑物并进行物理治疗以防止复发。
