Clinical Orthopedics and Rheumatology

Considering Posterior Sacroiliac Joint Ligaments and its Potential Outcome for the Clinician need for a Paradigm Change

Published on: 2019-03-05


The sacroiliac joints (SIJ) are encompassed between two bony structures, the iliac and sacral bone [1]. The first function of the SIJ is to preserve stability, sustained by an important network of ligaments attached to the SIJ [1]. Another aim of the SIJ is to ensure the force transmission of vertical forces to the pelvic bone and lower extremities [2]. The SIJ also is an important source for low back pain (LBP) [3]. This has been argued by Hamidi-Ravari et al. (2014) [1], who stated that the majority of people suffering from LBP would also be experiencing SIJ pain. Kurosawa et al.(2015) [4] argued that the occurrence of SIJ pain would be underestimated because no research about SIJ pain coming from posterior SIJ ligaments would have been done. Additionally, the gold standard of SIJ pain is the injection, because it is assumed that the pain in the SIJ is coming from the joint [1]. According to Friedly et al.(2010) [5], another option for treating LBP is surgery. The authors debated that the implementation of health care treatment in the United States are linked to various items, among which also an augmentation of chronic low back pain (LBP), as different treatment options used, and lastly the beliefs concerning pain[5].


Posterior Sacroiliac Joint,Orthopedics