title: [Sacroiliac joint disorders in Abidjan: epidemiological, clinical, radiological and etiological characteristics].
abstract: BACKGROUND
  The sacroiliac joint remains unknown in sub-Saharan Africa. Studies about the sacroiliac diseases are rare Aim : Describe the epidemiological, clinical, radiological and etiological characteristics of sacroiliac joint diseases in Abidjan Methods : Retrospective and descriptive study concerning 17 patients hospitalized from February 2003 to April 2010 in the department of rheumatology of university hospital center of Cocody (Abidjan) for buttock pain or others functional signs evoking sacroiliac joint which were attested by radiographic lesions. We were interested on the epidemiological, clinical and radiological characteristics and the etiologies in the sacroiliac disease.
  
  
  RESULTS
  The hospital prevalence of sacroiliac diseases was 0.55% corresponding in 17 of 3067 rheumatological diseases. The female sex predominated (82.35%) and the mean age of 25.58 years. Gyneco-obstetric events were the predominant risk factors (47.05%). Sacroiliac damage was manifested by inflammatory pain (64.7%) localized at the buttock or lumbar spine, radiating to the thigh (52.9%) and was accompanied by functional disability (82.2%) and fever was not present every time (64.7%). The physical findings were the tripod sign positive (58.8%), the monopodal backing positive (41.2%) and palpation painful of sacroiliac joint. The standard radiograph revealed a blurring aspect and widening of joint space associated with demineralization (68.4%), a joint space narrowing and erosion of articular banks (23.5%). The etiologies found were bacterial arthritis (82.3%) mainly pyogenic (70.58%), osteoarthritis (11.7%) and ankylosing spondylitis (5.9%).
  
  
  CONCLUSIONS
  Sacroiliac joint diseases are rare in rheumatology practice in Abidjan, concern younger subjects and are dominated by pyogenic sacroiliitis.
authors: Mohamed
authors: M
authors: Diomandé
authors: E
authors: E
authors: Eti
authors: B
authors: B
authors: Ouattara
authors: K E
authors: KE
authors: Cheteu
authors: C L
authors: CL
authors: Kouakou Ehaulier Soh
authors: M
authors: M
authors: Gbané-Koné
authors: Jean-Mermoze
authors: JM
authors: Djaha Kouassi
authors: M
authors: M
authors: Kouakou N'zué
mesh_terms: D000328:Adult; D001170:Arthritis, Infectious / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000382:microbiology; D007560:Cote d'Ivoire / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D011859:Radiography; D012189:Retrospective Studies; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000473:pathology*; D058566:Sacroiliitis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000382:microbiology; D012959:Socioeconomic Factors; D013167:Spondylitis, Ankylosing / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000382:microbiology