From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)

Abstract Background One of the most important complications in inflammatory Bowel Disease (IBD) are musculoskeletal manifestations that are reported in more than 50% of patients. Objectives In this study, we aimed to evaluate the musculoskeletal and radiologic manifestations in our IBD patients. Met...

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Autores principales:	Samane Tavassoli, Iman Shahabinasab, Alireza Norouzi, Taghi Amiriani, Nafiseh Abdolahi, Somayeh Livani, Seyed Farzam Mirkamali, Honey Sadat Mirkarimi, Fazel Isapanah Amlashi, Sima Besharat
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Inflammatory bowel disease Sacroiliitis Enthesitis Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/08c0da671e0647cdbc424b489605dc3d
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spelling	oai:doaj.org-article:08c0da671e0647cdbc424b489605dc3d2021-12-05T12:18:30ZFrom bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)10.1186/s12891-021-04903-41471-2474https://doaj.org/article/08c0da671e0647cdbc424b489605dc3d2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04903-4https://doaj.org/toc/1471-2474Abstract Background One of the most important complications in inflammatory Bowel Disease (IBD) are musculoskeletal manifestations that are reported in more than 50% of patients. Objectives In this study, we aimed to evaluate the musculoskeletal and radiologic manifestations in our IBD patients. Methods In this cross-sectional study on 96 mild-to-moderate IBD patients (76 UC, 18 CD and 2 undifferentiated IBD) with mean (SD) age of 39.28 (11.42) years, 44 (45.8%) were males and 52 were (54.2%) females. Patients were examined by an expert rheumatologist and their musculoskeletal symptoms were assessed. The musculoskeletal system was evaluated by Modified Schober test, Thoracic expansion (TE), Occiput to wall distance (OWD), and Patrick’s or FABER test. Peripheral joints were also examined in all four extremities. Then patients were referred for pelvic and lumbosacral x-ray. Sacroiliitis grading was performed using the New York criteria. Results Inflammatory low back pain was reported in 5 (5.2%), enthesopathy in 6 (6.5%) and dactylitis in 1 (1.1%). Positive Schober test was recorded in 5 (5.2%) and Patrick test in 3 (3.1%). Forty-nine (51%) cases had normal imaging with no sacroiliitis, endplate sclerosis was seen in 33 cases (34.4%), grade 3 and grade 4 were seen in 10 cases (10.4%). Conclusions In the present study, 34.4% of the IBD patients had mild radiologic changes as endplate sclerosis and 95% had a normal physical examination.Samane TavassoliIman ShahabinasabAlireza NorouziTaghi AmirianiNafiseh AbdolahiSomayeh LivaniSeyed Farzam MirkamaliHoney Sadat MirkarimiFazel Isapanah AmlashiSima BesharatBMCarticleInflammatory bowel diseaseSacroiliitisEnthesitisDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Inflammatory bowel disease Sacroiliitis Enthesitis Diseases of the musculoskeletal system RC925-935
spellingShingle	Inflammatory bowel disease Sacroiliitis Enthesitis Diseases of the musculoskeletal system RC925-935 Samane Tavassoli Iman Shahabinasab Alireza Norouzi Taghi Amiriani Nafiseh Abdolahi Somayeh Livani Seyed Farzam Mirkamali Honey Sadat Mirkarimi Fazel Isapanah Amlashi Sima Besharat From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)
description	Abstract Background One of the most important complications in inflammatory Bowel Disease (IBD) are musculoskeletal manifestations that are reported in more than 50% of patients. Objectives In this study, we aimed to evaluate the musculoskeletal and radiologic manifestations in our IBD patients. Methods In this cross-sectional study on 96 mild-to-moderate IBD patients (76 UC, 18 CD and 2 undifferentiated IBD) with mean (SD) age of 39.28 (11.42) years, 44 (45.8%) were males and 52 were (54.2%) females. Patients were examined by an expert rheumatologist and their musculoskeletal symptoms were assessed. The musculoskeletal system was evaluated by Modified Schober test, Thoracic expansion (TE), Occiput to wall distance (OWD), and Patrick’s or FABER test. Peripheral joints were also examined in all four extremities. Then patients were referred for pelvic and lumbosacral x-ray. Sacroiliitis grading was performed using the New York criteria. Results Inflammatory low back pain was reported in 5 (5.2%), enthesopathy in 6 (6.5%) and dactylitis in 1 (1.1%). Positive Schober test was recorded in 5 (5.2%) and Patrick test in 3 (3.1%). Forty-nine (51%) cases had normal imaging with no sacroiliitis, endplate sclerosis was seen in 33 cases (34.4%), grade 3 and grade 4 were seen in 10 cases (10.4%). Conclusions In the present study, 34.4% of the IBD patients had mild radiologic changes as endplate sclerosis and 95% had a normal physical examination.
format	article
author	Samane Tavassoli Iman Shahabinasab Alireza Norouzi Taghi Amiriani Nafiseh Abdolahi Somayeh Livani Seyed Farzam Mirkamali Honey Sadat Mirkarimi Fazel Isapanah Amlashi Sima Besharat
author_facet	Samane Tavassoli Iman Shahabinasab Alireza Norouzi Taghi Amiriani Nafiseh Abdolahi Somayeh Livani Seyed Farzam Mirkamali Honey Sadat Mirkarimi Fazel Isapanah Amlashi Sima Besharat
author_sort	Samane Tavassoli
title	From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)
title_short	From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)
title_full	From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)
title_fullStr	From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)
title_full_unstemmed	From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)
title_sort	from bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (ibd)
publisher	BMC
publishDate	2021
url	https://doaj.org/article/08c0da671e0647cdbc424b489605dc3d
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From bowel inflammation to the bone and joints: musculoskeletal examination in inflammatory bowel disease (IBD)

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