Sacroiliac Joint Dysfunction in Athletes

Brolinson, P. Gunnar; Kozar, Albert; Cibor, Greg

doi:10.1249/00149619-200302000-00009

Cited by 68 publications

(41 citation statements)

References 4 publications

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“…In half of our cases, there was no precipitating event, although there have been some reports of an increased incidence in athletes. 4 We realize that this is a retrospective study of a fairly small group of patients. Sixteen patients had a follow-up telephone survey addressing the amount of improvement they had after the treatment, as well as their return to sport activities and duration of relief.…”

Section: Discussionmentioning

confidence: 99%

Sacroiliac joint pain in the pediatric population

Stoev

Powers

Puglisi

et al. 2012

PED

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Object The sacroiliac (SI) joint can be a pain generator in 13%–27% of cases of back pain in adults. These numbers are largely unknown for the pediatric population. In children and especially girls, development of the pelvic girdle makes the SI joint prone to misalignment. Young athletes sustain repeated stress on their SI joints, and sometimes even minor trauma can result in lasting pain that mimics radiculopathy. The authors present a series of 48 pediatric patients who were evaluated for low-back pain and were found to have SI joint misalignment as the cause of their symptoms. They were treated with a simple maneuver described in this paper that realigned their SI joint and provided significant improvement of symptoms. Methods A retrospective review of the electronic records identified 48 patients who were referred with primary complaints of low-back pain and were determined to have SI joint misalignment during bedside examination maneuvers described here. Three patients did not have a record of their response to treatment and were excluded. Patients were evaluated by a physical therapist and had the realignment procedure performed on the day of initial consultation. The authors collected data regarding the immediate effect of the procedure, as well as the duration of pain relief at follow-up visits. Results Eighty percent of patients experienced dramatic improvement in symptoms that had a lasting effect after the initial treatment. The majority of them were given a home exercise program, and only 2 of the 36 patients who experienced significant relief had to be treated again. Fifty-three percent of all patients had immediate and complete resolution of symptoms. Three of the 48 patients had missing data from the medical records and were excluded from computations. Conclusions Back pain is multifactorial, and the authors' data demonstrate the potential importance of SI joint pathology. Although the technique described here for treatment of misaligned SI joints in the pediatric patients is not effective in all, the authors have observed significant improvement in 80% of cases. Often it is difficult to determine the exact cause of back pain, but when the SI joint is suspected as the primary pathology, the authors have described a simple and effective bedside treatment that should be attempted prior to the initiation of further testing and surgery.

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Section: Discussionmentioning

confidence: 99%

Sacroiliac joint pain in the pediatric population

Stoev

Powers

Puglisi

et al. 2012

PED

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“…Inaktiven [5]. Eine Fraktur im Bereich des SIG ist relativ selten und betrifft meist isoliert das os ilium [9][10][11] …”

Section: Das Sig Beim Sportlerunclassified

Seltene Ursache für eine Problematik des Sakroiliakalgelenks bei einem Ironman-Triathleten

Knechtle

Nikolaidis²

2017

Praxis

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Differentialdiagnostische ÜberlegungenZum Zeitpunkt der Konsultation war der Verdacht auf eine Dysfunktion des linken SIG sehr gross zumal der klinische Untersuch sehr für diese Problematik sprach. 11 Key messages• Die Dysfunktion des Sakroiliakalgelenks als hypomobiles Gelenk ist eine relativ häufige Erkrankung in der allgemeinen Bevölkerung und noch häufiger beim aktiven Menschen.• Die Diagnose einer Dysfunktion des Sakroiliakalgelenks basiert auf der klinischen Untersuchung wobei in unsicheren Fällen eine diagnostische Infiltration des Gelenks in Betracht gezogen werden kann.• Die Therapie der Dysfunktion des Sakroiliakalgelenks ist konservativ mit Mobilisation, Manipulation und Einsatz von Schmerzmitteln.• SchlüsselwörterGelenk -Becken -Sportler -Fraktur 13 AbstractWe report the case of a 52-year Ironman triathlete who complained of prolonged pain in the left buttock. Therapeutic efforts in the suspected blocked sacroiliac joint wereunsuccessful. An MRI of the pelvis then showed a fracture of the left iliac wing. We assume that manipulation of the sacroiliac joint led to the fracture of the iliac wing.

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“…Research suggests this is also the case for joints subjected to shear forces, such as the sacroiliac joint (Eckstein et al 1999;Frank et al 2001). It is thought that the equine musculoligamentous 'sling' and fascial system surrounding the vertebral column and sacroiliac joint (SIJ) may be under proprioceptive control of neural elements within the tissue, as is the case in humans and pigs (Indahl et al 1999;Brolinson et al 2003). Any cause of altered proprioception or altered load transfer through the SIJ or vertebral column may be a reason for development of joint surface changes in horses.…”

Section: Implications For Rehabilitation Of Articular Cartilage Injuriesmentioning

confidence: 99%