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Lumbar apophyseal joint arthrography.

L G Giles

    Journal of Manipulative and Physiological Therapeutics
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Facet joint arthropathy causes low back pain and sciatica. This study suggests a histological explanation for contrast medium "leakage" observed during lumbo-sacral apophyseal joint arthrography.

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    Area of Science:

    • Orthopedics
    • Radiology
    • Anatomy

    Background:

    • Lumbar apophyseal (facet) joint arthropathy is a significant contributor to low back pain and sciatica.
    • Arthrography of these joints can reveal contrast medium leakage from the joint capsule.

    Purpose of the Study:

    • To propose a histological explanation for the observed contrast medium leakage from the lumbo-sacral apophyseal joint capsule.

    Main Methods:

    • Histological examination of lumbo-sacral apophyseal joints.
    • Correlation of histological findings with arthrographic observations of contrast leakage.

    Main Results:

    • Histological evidence suggests specific structural features of the lumbo-sacral apophyseal joint capsule may predispose it to contrast leakage during arthrography.

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    Conclusions:

    • The proposed histological explanation provides insight into the mechanism of contrast leakage in lumbo-sacral apophyseal joint arthrography.
    • Understanding this mechanism may improve diagnostic accuracy and patient management for facet joint arthropathy.