SI Joint Diagnosis & Treatment (Le Huec - EFORT Open Reviews 2020)
A Painful Unknown: Sacroiliac Joint Diagnosis and Treatment
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).