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Low back pain: do not forget the sacroiliac joint!
  1. N Brown1,
  2. M S Thyagarajan2,
  3. K Johnson3,
  4. A V Ramanan4
  1. 1
    Department of Paediatrics, Salisbury District Hospital, Salisbury, UK
  2. 2
    Department of Paediatric Radiology, Bristol Royal Hospital for Children, Bristol, UK
  3. 3
    Department of Radiology, Salisbury District Hospital, Salisbury, UK
  4. 4
    Department of Paediatric Rheumatology, Bristol Royal Hospital for Children, Bristol, UK
  1. Correspondence to Nick Brown, Department of Paediatrics, Salisbury District Hospital, Salisbury SP2 8BJ, UK; n_janbrown{at}yahoo.co.uk

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A previously well 14-year-old boy presented with a 3-day history of acute-onset, left-sided, low back pain with difficulty weight bearing. Examination showed restricted straight leg raising. Plain x ray of his hip was normal though C reactive protein (CRP) was mildly raised (27 mg/ml). He self-referred a week later with increasing pain and inability to weight bear and was admitted. Signs were unchanged …

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