|ECR 2019 / C-3035|
|Unilateral Acute Sacroiliitis - Think Infection, No Injection !|
To help recognise the MR imaging features of acute septic unilateral sacroiliitis affecting either the synovial or ligamentous portions of the sacroiliac joint ; (Marrow oedema, joint effusion, juxta-articular soft tissue oedema+/- collections) .
To demonstrate ultrasound and CT guided aspiration techniques which are essential in the diagnostic work-up and management .
To increase awareness of uncommon causative organisms (Gram +ve cocci, Mycobacterium tuberculosis and Brucella) and the utility of serological testing in addition to appropriate clinical history .
To avoid the pitfall of injudicious use of intra-articular steroid injections for symptomatic relief with potential of causing patient harm and serious complications .