What is your approach to a patient with incidental radiographic findings of sacroiliitis without clinical inflammatory back pain?  

I agree. As mentioned, often, the radiology report going back to orthopedics, for example, may say "spondyloarthropathy" whereas, in fact, the radiologist is just describing osteoarthritis and/or spondylosis (the combination of OA and degenerative disc disease). Then, a rheumatology referral is init...

This is a frequent situation and a very challenging one. My approach is to ensure that the clinical scenario is actually true that the patient does have true sacroiliitis that meets the Assessment of Spondyloarthritis International Society (ASAS) criteria (Please see at the end). In my opi...