The use of color Doppler imaging for the assessment of sacroiliac joint stiffness: a study on embalmed human pelvises.
OBJECTIVE
The validity and reproducibility of an instrumented dynamic examination method to measure sacroiliac (SI) joint stiffness was tested in vitro.


METHODS
Four embalmed human female pelvises were excitated by a pelvic vibrator. A color Doppler imaging (CDI) scanner was used to image the amplitude of vibrations at different sites of the pelvis. Vibrations were applied to the anterior superior iliac spines unilaterally and were received by CDI all over the ipsilateral SI region. Three different stability conditions were created in the SI joints: no intervention, screwed and ligaments cut. Test results were quantified by taking the minimum threshold levels of the bones. The relative difference of vibration intensity between ipsilateral ilium and sacrum at each stability condition is accepted as the stiffness level for the SI joint.


RESULTS
Statistics showed high reproducibility and significant differences between the stability conditions. Dynamic testing based on the use of vibrations provides visible and quantifiable intra- and inter-individual differences between SI joint stiffnesses.


CONCLUSIONS
This new method is objective and reproducible. Future in vivo application is promising since there are no technical and safety restrictions.
Buyruk
H M
HM
Institute of Rehabilitation, University Hospital Rotterdam, Netherlands.
Stam
H J
HJ
Snijders
C J
CJ
Vleeming
A
A
Laméris
J S
JS
Holland
W P
WP
D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D002102:Cadaver; D004548:Elasticity; D005260:Female; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000502:physiology; D017846:Longitudinal Ligaments / Q000502:physiology / Q000601:surgery; D015588:Observer Variation; D010388:Pelvis / Q000000981:diagnostic imaging / Q000502:physiology; D010865:Pilot Projects; D015203:Reproducibility of Results; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000502:physiology*; D012447:Sacrum / Q000000981:diagnostic imaging / Q000502:physiology; D018615:Ultrasonography, Doppler, Color; D014732:Vibration; D014741:Video Recording