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Sacroiliac joint disorders 

Sacroiliac joint disorders
Chapter:
Sacroiliac joint disorders
Author(s):

Simon Petrides

DOI:
10.1093/med/9780199674107.003.0035
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date: 07 April 2020

Hippocrates apparently observed that the female pelvis separates during labour and remains so after birth. Goldthwait and Osgood first described the sacroiliac joint (SIJ) as a painful entity in 1905. SIJ dysfunction has been proposed as a cause of low back pain by osteopaths and chiropractors for many years. More recently, physiotherapists, musculoskeletal physicians, sport and exercise medicine specialists, and pain physicians have researched further into the concepts of SIJ pain and dysfunction. History, clinical signs, and radiological investigations are, individually, inadequate to diagnose SIJ pain. However, as with all musculoskeletal assessment, careful analysis of all the presenting features can direct the physician to the diagnosis with reasonable accuracy.

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