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.

Looking for Answers?

We can help. Tell us what you're looking for below.