Sacroiliac Joint
A 42-year-old woman presents with 18 months of right-sided low back and buttock pain radiating to the posterior thigh but not below the knee. She has difficulty sitting for prolonged periods and reports pain turning in bed. Examination shows a positive FABER test, Gaenslen test, and thigh thrust test on the right. Lumbar MRI shows mild degenerative changes at L4-5 without nerve compression. Lumbar facet injections provided no relief. Regarding sacroiliac joint dysfunction:
Mark each as TRUE or FALSE
The SIJ is a diarthrodial joint with hyaline cartilage on the sacral side and fibrocartilage on the ...
Diagnosis of SIJ pain requires clinical suspicion with at least 3 positive provocative tests (FABER,...
SIJ dysfunction is best diagnosed by plain radiographs which show widening of the joint; MRI is neve...
Risk factors for SIJ dysfunction include prior lumbar fusion (especially to sacrum), leg length disc...
Treatment algorithm: conservative management (physical therapy, activity modification, NSAIDs) for 6...
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Click T (True) or F (False) for each option