title: 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.
authors.affiliation: Service de médecine physique, CHU Fattouma Bourguiba, avenue du 1er-Juin, 5019 Monastir, Tunisia. anisjellad@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Jellad
authors.forename: H
authors.initials: H
authors.lastname: Bouzaouache
authors.forename: Z
authors.initials: Z
authors.lastname: Ben Salah
authors.forename: H
authors.initials: H
authors.lastname: Migaou
authors.forename: S
authors.initials: S
authors.lastname: Sana
mesh_terms: D000009:Abdominal Muscles / Q000503:physiopathology; D000700:Analgesics / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000601:surgery*; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007512:Ischium / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D052580:Muscle Stretching Exercises; D010003:Osteoarthritis / Q000188:drug therapy / Q000209:etiology / Q000534:rehabilitation* / Q000628:therapy; D015831:Osteochondroma / Q000601:surgery*; D017773:Pelvic Floor / Q000503:physiopathology; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy; D016658:Psoas Muscles / Q000503:physiopathology; D011631:Pubic Symphysis / Q000601:surgery*; D012446:Sacroiliac Joint / Q000473:pathology*; D013567:Symphysiotomy; D004561:Transcutaneous Electric Nerve Stimulation; D014464:Ultrasonic Therapy
chemical_list: D000700:Analgesics