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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zdor</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы здоровья и экологии</journal-title><trans-title-group xml:lang="en"><trans-title>Health and Ecology Issues</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2220-0967</issn><issn pub-type="epub">2708-6011</issn><publisher><publisher-name>Gomel State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51523/2708-6011.2011-8-3-21</article-id><article-id custom-type="elpub" pub-id-type="custom">zdor-1138</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>ЭКСПЕРТИЗА ПОДВЗДОШНО-ПОЯСНИЧНОЙ СВЯЗКИ ПРИ СИНДРОМЕ БОЛИ В НИЖНЕЙ ЧАСТИ СПИНЫ</article-title><trans-title-group xml:lang="en"><trans-title>ASSESSMENT OF THE ILIOLUMBAR LIGAMENT IN LOW BACK PAIN</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юрковский</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurkovskiy</surname><given-names>A. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Гомельский государственный медицинский университет</institution></aff><aff xml:lang="en"><institution>Gomel State Medical University</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2011</year></pub-date><volume>0</volume><issue>3</issue><fpage>106</fpage><lpage>110</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Юрковский А.М., 2011</copyright-statement><copyright-year>2011</copyright-year><copyright-holder xml:lang="ru">Юрковский А.М.</copyright-holder><copyright-holder xml:lang="en">Yurkovskiy A.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.gsmu.by/jour/article/view/1138">https://journal.gsmu.by/jour/article/view/1138</self-uri><abstract><p>Цель исследования: оценить (по данным литературы) диагностические возможности физикальных и лучевых методов, используемых для диагностики повреждений ППС. Материал исследования: публикации, содержащие информацию о физикальных и лучевых методах диагностики повреждений ППС. Результаты. Проведен сравнительный анализ диагностических критериев, используемых для диагностики патологии подвздошно-поясничной связки. Оценена роль клинико-неврологического обследования и методов визуализации в диагностическом алгоритме при патологии данной связки. Заключение. Используемые для оценки состояния ППС физикальные и радиологические признаки не обеспечивают необходимый уровень надежности. Решение этой проблемы лежит на пути сопоставления результатов этих исследований с морфологическими данными.</p></abstract><trans-abstract xml:lang="en"><p>Aim of the research: to assess the diagnostic potential of physical, ultrasound and X-ray methods of the examinations used for the diagnosis of anterior longitudinal ligament injuries. Material and metods: articles containing the information about physical, ultrasound and X-ray methods of the diagnosis of the anterior longitudinal ligament injuries. Results. The comparative analysis of the diagnostic criteria for the anterior longitudinal ligament pathology has been performed. The role of clinical and neurological examination and different methods of visualization in the diagnostic algorithm in the pathology of anterior longitudinal ligament has been estimated. Conclusion. The physical and radiological features used to evaluate the state of iliolumbar ligament do not provide high-reliable criteria. The solution of this problem lies in the comparison of the results of the given studies with the morphological data.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>подвздошно-поясничная связка</kwd><kwd>синдром боли в нижней части спины</kwd><kwd>iliolumbar ligament</kwd><kwd>low back pain</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Deyo, R. A. Low Back Pain / R. A. Deyo, J. N. Weinstein // N. Engl. J. Med. - 2001. - Vol. 344. - Р. 363-370.</mixed-citation><mixed-citation xml:lang="en">Deyo, R. A. Low Back Pain / R. A. Deyo, J. N. Weinstein // N. Engl. J. Med. - 2001. - Vol. 344. - Р. 363-370.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Bogduk, N. Clinical anatomy of the lumbar spine and sacrum / N. Bogduk. // Edinburgh.: Churchill Livingstone, 2005. - Р. 44-46, 194-196.</mixed-citation><mixed-citation xml:lang="en">Bogduk, N. Clinical anatomy of the lumbar spine and sacrum / N. Bogduk. // Edinburgh.: Churchill Livingstone, 2005. - Р. 44-46, 194-196.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Бурмакова, Г. М. Пояснично-крестцовый болевой синдром у спортсменов и артистов балета: дифференциальная диагностика / Г. М. Бурмакова // Вестник травматол. ортопед. - 2004. - № 1. - С. 84-92.</mixed-citation><mixed-citation xml:lang="en">Бурмакова, Г. М. Пояснично-крестцовый болевой синдром у спортсменов и артистов балета: дифференциальная диагностика / Г. М. Бурмакова // Вестник травматол. ортопед. - 2004. - № 1. - С. 84-92.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bogduk, N. Medical Management of Acute and Chronic Low Back pain. An Evidence-Based Approach: Pain Research and Clinical Management / Edited by N. Bogduk, B. McGuirk // Amsterdam.: Elsevier Science BV, 2002. - Vol. 13. - Р. 127-138.</mixed-citation><mixed-citation xml:lang="en">Bogduk, N. Medical Management of Acute and Chronic Low Back pain. An Evidence-Based Approach: Pain Research and Clinical Management / Edited by N. Bogduk, B. McGuirk // Amsterdam.: Elsevier Science BV, 2002. - Vol. 13. - Р. 127-138.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Юрковский, А. М. Подвздошно-поясничная связка: анатомический базис для лучевого диагноста / А. М. Юрковский // Проблемы здоровья и экологии. - 2010. - № 4. - С. 84-89.</mixed-citation><mixed-citation xml:lang="en">Юрковский, А. М. Подвздошно-поясничная связка: анатомический базис для лучевого диагноста / А. М. Юрковский // Проблемы здоровья и экологии. - 2010. - № 4. - С. 84-89.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Миронов, С. П. Поясничные боли у спортсменов и артистов балета: патология пояснично-подвздошной связки / С. П. Миронов, Г. М. Бурмакова, А. И. Крупаткин // Вестник травматол. ортопед. - 2001. - № 4. - С.14-21.</mixed-citation><mixed-citation xml:lang="en">Миронов, С. П. Поясничные боли у спортсменов и артистов балета: патология пояснично-подвздошной связки / С. П. Миронов, Г. М. Бурмакова, А. И. Крупаткин // Вестник травматол. ортопед. - 2001. - № 4. - С.14-21.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Sims, J. A. The role of the iliolumbar ligament in low back pain / J. A. Sims, S. J. Moorman // Medical Hypotheses. - 1996. - Vol. 46, Issue 6. - P. 511-515.</mixed-citation><mixed-citation xml:lang="en">Sims, J. A. The role of the iliolumbar ligament in low back pain / J. A. Sims, S. J. Moorman // Medical Hypotheses. - 1996. - Vol. 46, Issue 6. - P. 511-515.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Жарков, П. Л. «Поясничные» боли / П. Л. Жарков, А. П. Жарков, С. М. Бубновский. - М.: Юниартпринт, 2001. - 143 с.</mixed-citation><mixed-citation xml:lang="en">Жарков, П. Л. «Поясничные» боли / П. Л. Жарков, А. П. Жарков, С. М. Бубновский. - М.: Юниартпринт, 2001. - 143 с.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Brukner, P. Clinical Sports Medicine / P. Brukner, K. Khan. Sydney: The McGraw-Hill Companies Inc, 2001. - Р. 362-374</mixed-citation><mixed-citation xml:lang="en">Brukner, P. Clinical Sports Medicine / P. Brukner, K. Khan. Sydney: The McGraw-Hill Companies Inc, 2001. - Р. 362-374</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Palpation of the iliolumbar ligament / E. Kennedy [et al.] // N. Z. J. Physiother. - 2004. - Vol. 32, № 2. - P. 76-79.</mixed-citation><mixed-citation xml:lang="en">Palpation of the iliolumbar ligament / E. Kennedy [et al.] // N. Z. J. Physiother. - 2004. - Vol. 32, № 2. - P. 76-79.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Iliolumbar syndrome as a common cause of low-back pain: diagnosis and prognosis / G. G. Hirschberg, L. Froetscher, F. Naeim // Arch. Phys. Med. Rehab. - 1979. - Vol. 60, № 9. - Р. 415-419.</mixed-citation><mixed-citation xml:lang="en">Iliolumbar syndrome as a common cause of low-back pain: diagnosis and prognosis / G. G. Hirschberg, L. Froetscher, F. Naeim // Arch. Phys. Med. Rehab. - 1979. - Vol. 60, № 9. - Р. 415-419.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Hackett, G. S. Referred Pain from Low Back Ligament Disability / G. S. Hackett // A.M.A. Arch. Surg. - 1956. - Vol. 73, № 5. - Р. 878-883.</mixed-citation><mixed-citation xml:lang="en">Hackett, G. S. Referred Pain from Low Back Ligament Disability / G. S. Hackett // A.M.A. Arch. Surg. - 1956. - Vol. 73, № 5. - Р. 878-883.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Naeim, F. Treatment of the Chronic lliolumbar Syndrome by Infiltration of the lliolumbar Ligament (Information) / F. Naeim, L. Froetscher, G. G. Hirschberg // West J. Med. - 1982. - Vol. 136. - Р. 372-374.</mixed-citation><mixed-citation xml:lang="en">Naeim, F. Treatment of the Chronic lliolumbar Syndrome by Infiltration of the lliolumbar Ligament (Information) / F. Naeim, L. Froetscher, G. G. Hirschberg // West J. Med. - 1982. - Vol. 136. - Р. 372-374.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Boyajian, S. S. Using Image-Guided Techniques for Chronic Low Back Pain / S. S. Boyajian // J. Am. Osteopath. Assoc. - 2007. - Vol. 107, № 11. - Р. 53-59.</mixed-citation><mixed-citation xml:lang="en">Boyajian, S. S. Using Image-Guided Techniques for Chronic Low Back Pain / S. S. Boyajian // J. Am. Osteopath. Assoc. - 2007. - Vol. 107, № 11. - Р. 53-59.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Diagnostic Imaging for Low Back Pain: Advice for High-Value Health Care from the American College of Physicians / R. Chou [et al.] // Ann. Intern. Med. - 2011. - Vol. 154. - Р. 181-189.</mixed-citation><mixed-citation xml:lang="en">Diagnostic Imaging for Low Back Pain: Advice for High-Value Health Care from the American College of Physicians / R. Chou [et al.] // Ann. Intern. Med. - 2011. - Vol. 154. - Р. 181-189.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">ACR Appropriateness Criteria on Low Back Pain / P. C. Davis [et al.] // J.A.C.R. - 2009. - Vol. 6, Issue 6. - P. 401-407.</mixed-citation><mixed-citation xml:lang="en">ACR Appropriateness Criteria on Low Back Pain / P. C. Davis [et al.] // J.A.C.R. - 2009. - Vol. 6, Issue 6. - P. 401-407.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Iliolumbar ligament ossification in undifferentiated seronegative spondyloarthropathy / I. Olivieri, [et al] // Clin. Rheumat. - 1997. - Vol. 16, № 2. - Р. 212-214.</mixed-citation><mixed-citation xml:lang="en">Iliolumbar ligament ossification in undifferentiated seronegative spondyloarthropathy / I. Olivieri, [et al] // Clin. Rheumat. - 1997. - Vol. 16, № 2. - Р. 212-214.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Jacobson, J. A. X-linked Hypophosphatemic Osteomalacia with Insuficiency Fracture/ J. A. Jacobson, M. Kalume-Brigido // Radiology. - 2006. - Vol. 202, № 2. - Р. 607-610.</mixed-citation><mixed-citation xml:lang="en">Jacobson, J. A. X-linked Hypophosphatemic Osteomalacia with Insuficiency Fracture/ J. A. Jacobson, M. Kalume-Brigido // Radiology. - 2006. - Vol. 202, № 2. - Р. 607-610.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">CT axial imaging of the iliolumbar ligament and its significance on locating lumbosacral vertebral segments / K. C. Liu [et al.] // Chin. J. Orthop. Traumatol. - 2010. - Vol. 11. - Р. 854-858.</mixed-citation><mixed-citation xml:lang="en">CT axial imaging of the iliolumbar ligament and its significance on locating lumbosacral vertebral segments / K. C. Liu [et al.] // Chin. J. Orthop. Traumatol. - 2010. - Vol. 11. - Р. 854-858.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Basadonna, P. T. Iliolumbar ligament insertions. In vivo anatomic study / P. T. Basadonna, D. Gasparini, V. Rucco // Spine. - 1996. - Vol. 15, Issue 21. - Р. 2313-2316.</mixed-citation><mixed-citation xml:lang="en">Basadonna, P. T. Iliolumbar ligament insertions. In vivo anatomic study / P. T. Basadonna, D. Gasparini, V. Rucco // Spine. - 1996. - Vol. 15, Issue 21. - Р. 2313-2316.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Rucco, V. Anatomy of the iliolumbar ligament: a review of its anatomy and a magnetic resonance study / V. Rucco, P. T. Basadonna, D. Gasparini // Am. J. Phys. Med. Rehabil. - 1996. - Vol. 75, № 6. - Р. 451-455.</mixed-citation><mixed-citation xml:lang="en">Rucco, V. Anatomy of the iliolumbar ligament: a review of its anatomy and a magnetic resonance study / V. Rucco, P. T. Basadonna, D. Gasparini // Am. J. Phys. Med. Rehabil. - 1996. - Vol. 75, № 6. - Р. 451-455.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">The Iliolumbar Ligament: Three-Dimensional Volume Imaging and Computer Reformatting by Magnetic Resonance: A Technical Note / J. Hartford [et al.] // Spine. - 2000. - Vol. 25, Issue 9. - Р. 1098-1103.</mixed-citation><mixed-citation xml:lang="en">The Iliolumbar Ligament: Three-Dimensional Volume Imaging and Computer Reformatting by Magnetic Resonance: A Technical Note / J. Hartford [et al.] // Spine. - 2000. - Vol. 25, Issue 9. - Р. 1098-1103.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Ligamentäre Ausheilungsergebnisse nach Beckenringfrakturen Typ C / J. Böhme [et al.] // Unfallchirurg. - 2010. - Vol. 113, № 9. - P. 734-740.</mixed-citation><mixed-citation xml:lang="en">Ligamentäre Ausheilungsergebnisse nach Beckenringfrakturen Typ C / J. Böhme [et al.] // Unfallchirurg. - 2010. - Vol. 113, № 9. - P. 734-740.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Миронов, С. П. Диагностические возможности сонографии при пояснично-крестцовых болях / С. П. Миронов // Вестник травматологии и ортопедии. - 2003. - № 1. - С. 24-30.</mixed-citation><mixed-citation xml:lang="en">Миронов, С. П. Диагностические возможности сонографии при пояснично-крестцовых болях / С. П. Миронов // Вестник травматологии и ортопедии. - 2003. - № 1. - С. 24-30.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Миронов, С. П. применение компьютерной термографии в диагностике заболеваний пояснично-крестцового отдела позвоночника у спортсменов и артистов балета / С. П. Миронов, А. И. Крупаткин, Г. М. Бурмакова // Вестник травматологии и ортопедии. - 2002. - № 3. - С. 31-35.</mixed-citation><mixed-citation xml:lang="en">Миронов, С. П. применение компьютерной термографии в диагностике заболеваний пояснично-крестцового отдела позвоночника у спортсменов и артистов балета / С. П. Миронов, А. И. Крупаткин, Г. М. Бурмакова // Вестник травматологии и ортопедии. - 2002. - № 3. - С. 31-35.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">So, Y. T. The role of thermography in the evaluation of lumbosacral radiculopathy / Y. T. So, M. J. Aminoff, R. K. Olney // Neurology. - 1989. - Vol. 39, № 9. - Р. 1154-1158.</mixed-citation><mixed-citation xml:lang="en">So, Y. T. The role of thermography in the evaluation of lumbosacral radiculopathy / Y. T. So, M. J. Aminoff, R. K. Olney // Neurology. - 1989. - Vol. 39, № 9. - Р. 1154-1158.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Diagnostic Accuracy of Technologies Used in Low Back Pain Assessment: Thermography, Triaxial Dynamometry, Spinoscopy, and Clinical Examination / R. Leclaire [et al.] // Spine. - 1996. - Vol. 21, Issue 11. - Р. 1325-1330.</mixed-citation><mixed-citation xml:lang="en">Diagnostic Accuracy of Technologies Used in Low Back Pain Assessment: Thermography, Triaxial Dynamometry, Spinoscopy, and Clinical Examination / R. Leclaire [et al.] // Spine. - 1996. - Vol. 21, Issue 11. - Р. 1325-1330.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Clinical Efficacy of SPECT Bone Imaging for Low Back Pain / B. Littenberg [et al.] // J. Nucl. Med. - 1995. - Vol. 36. - P. 1707-1713.</mixed-citation><mixed-citation xml:lang="en">Clinical Efficacy of SPECT Bone Imaging for Low Back Pain / B. Littenberg [et al.] // J. Nucl. Med. - 1995. - Vol. 36. - P. 1707-1713.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Ryan, P. J. Chronic lower back pain: сomparison of bone SPECT with Radiography and CT / P. J. Ryan // Radiography. - 1992. - Vol. 182. - Р.849-854.</mixed-citation><mixed-citation xml:lang="en">Ryan, P. J. Chronic lower back pain: сomparison of bone SPECT with Radiography and CT / P. J. Ryan // Radiography. - 1992. - Vol. 182. - Р.849-854.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Single photon emission computed tomography (SPECT) for low back pain induced by extension with no root sign / C. T. Chung [et al.] // J.Chin. Med. Assoc. - 2004. - Vol. 67, № 7. - Р. 349-354.</mixed-citation><mixed-citation xml:lang="en">Single photon emission computed tomography (SPECT) for low back pain induced by extension with no root sign / C. T. Chung [et al.] // J.Chin. Med. Assoc. - 2004. - Vol. 67, № 7. - Р. 349-354.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
