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Clinical Data

SI Joint Diagnosis & Treatment (Le Huec - EFORT Open Reviews 2020)

A Painful Unknown: Sacroiliac Joint Diagnosis and Treatment

Le Huec JC, Bourret S, Thompson W, Daulouede C, Cloché T.
EFORT Open Rev. 2020 Oct 26;5(10):691-698.
DOI: 10.1302/2058-5241.5.190081. PMCID: PMC7608515.

ABSTRACT

The sacroiliac joint (SIJ) is a complex anatomical structure located near the centre of gravity of the body.Micro-traumatic SIJ disorders are very difficult to diagnose and require a complete clinical and radiological examination.To diagnose micro-trauma SIJ pain it is recommended to have at least three positive provocative specific manoeuvres and then a radiologically controlled infiltration test.Conservative treatment combining physiotherapy and steroid injections is the most common therapy but has a low level of efficiency. SIJ thermolysis is the most efficient non-invasive therapy.SIJ fusion using a percutaneous technique is a solution that has yet to be confirmed on a large cohort of patients resistant to other therapies.

Keywords: diagnosis; dysfunction; micro-traumatic pains; minimally invasive fusion surgery; sacro-iliac joint (SIJ).

Author Information

All authors affiliated with Polyclinique Bordeaux Nord Aquitaine, Bordeaux Univ, 33 300 Bordeaux, France.

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