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...

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Autores principales: Le Huec, Jean-Charles, Bourret, Stephane, Thompson, Wendy, Daulouede, Christian, Cloché, Thibault
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2020
Materias:
Instructional Lecture: Spine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7608515/
https://www.ncbi.nlm.nih.gov/pubmed/33204512
http://dx.doi.org/10.1302/2058-5241.5.190081
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author Le Huec, Jean-Charles
Bourret, Stephane
Thompson, Wendy
Daulouede, Christian
Cloché, Thibault
author_facet Le Huec, Jean-Charles
Bourret, Stephane
Thompson, Wendy
Daulouede, Christian
Cloché, Thibault
author_sort Le Huec, Jean-Charles
collection PubMed
description 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. Cite this article: EFORT Open Rev 2020;5:691-698. DOI: 10.1302/2058-5241.5.190081
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spelling pubmed-76085152020-11-16 A painful unknown: sacroiliac joint diagnosis and treatment Le Huec, Jean-Charles Bourret, Stephane Thompson, Wendy Daulouede, Christian Cloché, Thibault EFORT Open Rev Instructional Lecture: Spine 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. Cite this article: EFORT Open Rev 2020;5:691-698. DOI: 10.1302/2058-5241.5.190081 British Editorial Society of Bone and Joint Surgery 2020-10-26 /pmc/articles/PMC7608515/ /pubmed/33204512 http://dx.doi.org/10.1302/2058-5241.5.190081 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Instructional Lecture: Spine
Le Huec, Jean-Charles
Bourret, Stephane
Thompson, Wendy
Daulouede, Christian
Cloché, Thibault
A painful unknown: sacroiliac joint diagnosis and treatment
title A painful unknown: sacroiliac joint diagnosis and treatment
title_full A painful unknown: sacroiliac joint diagnosis and treatment
title_fullStr A painful unknown: sacroiliac joint diagnosis and treatment
title_full_unstemmed A painful unknown: sacroiliac joint diagnosis and treatment
title_short A painful unknown: sacroiliac joint diagnosis and treatment
title_sort painful unknown: sacroiliac joint diagnosis and treatment
topic Instructional Lecture: Spine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7608515/
https://www.ncbi.nlm.nih.gov/pubmed/33204512
http://dx.doi.org/10.1302/2058-5241.5.190081
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