The sacroiliac joint and sacroiliac dysfunction

Kayser, R.

doi:10.1007/s00337-008-0594-5

Cited by 3 publications

(4 citation statements)

References 33 publications

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“…In German-speaking countries, manual therapy of SIJ dysfunction is differentiated into techniques involving mobilization (low velocity, without impulse) and those involving manipulation (high velocity, with impulse) [24]. Obtaining scientific anatomical proof of treatment success resulting from manual therapy is difficult.…”

Section: Manual Therapy Approachesmentioning

confidence: 99%

“…Daher können auch muskuläre Ursachen (wie Triggerpunkte oder dekompensierte Muskelgruppen) über die Bänder und Faszien zu funktionellen Beschwerden im ISG führen. Nicht zu vernachlässigen sei auch die Beziehung zwischen Rumpf (M. transversus abdominis, M. obliquus abdominis, Diaphragma, M. latissimus dorsi, M. erector spinae) und Becken-/Beinmuskulatur (M. biceps femoris, Hüftabduktoren und Hüftadduktoren, Glutealmuskulatur) und deren Wechselwirkungen, die wiederum Beschwerden im ISG als Bindeglied zwischen Oberkörper und unteren Extremitäten hervorrufen können [24]. Das Auftreten verschiedener anatomischen Varianten führt zu der Überlegung, dass es, insbesondere bei asymmetrischen Veränderungen, zu einem funktionell gestörten Gelenkspiel im ISG kommt, das Beschwerden in dieser Region auslöst.…”

Section: Umgebende Muskulaturunclassified

“…Im deutschsprachigen Raum erfolgt in der manualtherapeutischen Behandlung von Funktionsstörungen des ISG eine Unterscheidung der Behandlungstechniken mit Mobilisation ("low velocity", "without impulse") und Manipulation ("high velocity", "with impulse") [24]. Ein anatomischer wissenschaftlicher Nachweis des Behandlungserfolges aufgrund der Manualtherapie ist schwierig zu erreichen.…”

Section: Manualtherapeutische Behandlungsansätzeunclassified

“…trigger points or decompensated muscle groups) can also generate SIJ dysfunctions via the ligaments and fasciae. Mention must also be made of the relationship between trunk (m. transversus abdominis, m. obliquus abdominis, diaphragm, m. latissimus dorsi, m. erector spinae) and pelvic/leg musculature (m. biceps femoris, hip abductors and hip adductors, glueteal musculature) and their interactions, which can also general SIJ discomfort in their function as interconnecting elements between the torso and lower extremities [24].…”

Section: Surrounding Musculaturementioning

confidence: 99%

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The Sacroiliac Joint as a Cause of Pain – Review of the Sacroiliac Joint Morphology and Models for Pain Genesis

2021

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Introduction In recent years, the sacroiliac joint has become increasingly important as a generator of low back pain with and without pseudo-radicular pain in the legs. Up to 27% of reported back pain is generated by disorders in the sacroiliac joint. Method This review is based on a selective literature search of the sacroiliac joint (SIJ) as a possible pain generator. It also considers the anatomical structures and innervation of the sacroiliac joint. Results The SIJ is a complex joint in the region of the posterior pelvis and is formed by the sacrum and the ilium bones. The SIJ is very limited in movement in all three planes. Joint stability is ensured by the shape and especially by strong interosseous and extraosseous ligaments. Different anatomical variants of the sacroiliac joint, such as additional extra-articular secondary joints or ossification centres, can be regularly observed in CT scans. There is still controversy in the literature regarding innervation. However, there is agreement on dorsal innervation of the sacroiliac joint from lateral branches of the dorsal rami of the spinal nerves S I–S III with proportions of L III and L IV as well S IV. Nerve fibres and mechanoreceptors can also be detected in the surrounding ligaments. Conclusion A closer look at the anatomy and innervation of the SIJ shows that the SIJ is more than a simple joint. The complex interaction of the SIJ with its surrounding structures opens the possibility that pain arises from this area. The SIJ and its surrounding structures should be included in the diagnosis and treatment of back and leg pain. Published literature include a number of plausible models for the sacroiliac joint as pain generator. The knowledge of the special anatomy, the complex innervation as well as the special and sometimes very individual functionality of this joint, enhance our understanding of associated pathologies and complaints.

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Section: Manual Therapy Approachesmentioning

confidence: 99%

Section: Umgebende Muskulaturunclassified

Section: Manualtherapeutische Behandlungsansätzeunclassified

Section: Surrounding Musculaturementioning

confidence: 99%

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