Osteoarthritis of the sacroiliac joint complicating resection of the pubic symphysis. Interest of a rehabilitation programme.

Abstract:

:Sacroiliac joint (SIJ) is an uncommon localisation of osteoarthritis. Instability of this joint is one of rare aetiologies. It can occur after resection of the pubic symphysis for whatever the reason. The biomechanical consequences on the SIJ are increasing shear forces and vertical restrain. This leads to secondary progressive SIJ osteoarthritis. There is no specific rehabilitation programme for this pathology. Here, we report the case of a patient who presents SIJ osteoarthritis 20 years after surgical resection of the pubic symphysis for osteochondroma. We proposed a rehabilitation programme based on the pelvic biomechanical characteristics. It included specific exercises of muscular strengthening (the transversely oriented abdominal muscles and pelvic floor muscles) and muscular stretching (the psoas major muscle). We obtained an improvement of pain and functional capacity in our patient.

journal_name

Ann Phys Rehabil Med

authors

Jellad A,Bouzaouache H,Ben Salah Z,Migaou H,Sana S

doi

10.1016/j.rehab.2009.03.002

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

510-7

issue

6

eissn

1877-0657

issn

1877-0665

pii

S1877-0657(09)00059-1

journal_volume

52

pub_type

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