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SACRARTHROGENETIC TELALGIA I. A Study of Referred Pain
HORACE C. PITKIN; HOMER C. PHEASANT
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1935 by The Journal of Bone and Joint Surgery.
The Journal of Bone & Joint Surgery.  1936; 18:111-133 
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Abstract

1. The authors have attempted to present the syndrome of sacrarthrogenetic telalgia and to locate the origin and to trace the course of each of its components.

2. Five outstanding sources of confusion in the literature dealing with sciatica and low-back pain are:

a. The inaccuracy of the nomenclature of referred pain.

b. The influence of inaccurate nomenclature on pathological concepts.

C. The difference of opinion in regard to the localization of dermatomic areas.

d. The lack of specific descriptions of the innervation of the upper sacral joints and their ligaments.

e. The vague descriptions of tenderness of various anatomical structures.

3. In presenting the results of their clinical and anatomical research, the authors have included only those findings which are related to each of the sources of confusion.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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