Le Huec Jean-Charles, Bourret Stephane, Thompson Wendy, Daulouede Christian, Cloché Thibault
Polyclinique Bordeaux Nord Aquitaine, Bordeaux Univ, 33 300 Bordeaux, France.
EFORT Open Rev. 2020 Oct 26;5(10):691-698. doi: 10.1302/2058-5241.5.190081. eCollection 2020 Oct.
The sacroiliac joint (SIJ) is a complex anatomical structure located near the centre of gravity of the body.Micro-traumatic SIJ disorders are very difficult to diagnose and require a complete clinical and radiological examination.To diagnose micro-trauma SIJ pain it is recommended to have at least three positive provocative specific manoeuvres and then a radiologically controlled infiltration test.Conservative treatment combining physiotherapy and steroid injections is the most common therapy but has a low level of efficiency. SIJ thermolysis is the most efficient non-invasive therapy.SIJ fusion using a percutaneous technique is a solution that has yet to be confirmed on a large cohort of patients resistant to other therapies. Cite this article: 2020;5:691-698. DOI: 10.1302/2058-5241.5.190081.
骶髂关节（SIJ）是位于身体重心附近的复杂解剖结构。微创伤性骶髂关节疾病很难诊断，需要进行全面的临床和放射学检查。要诊断微创伤性骶髂关节疼痛，建议至少有三项阳性激发性特定手法检查，然后进行放射学控制下的浸润试验。结合物理治疗和类固醇注射的保守治疗是最常见的疗法，但疗效较低。骶髂关节热溶解术是最有效的非侵入性疗法。使用经皮技术进行骶髂关节融合术是一种尚未在大量对其他疗法耐药的患者中得到证实的解决方案。引用本文：2020；5：691 - 698。DOI：10.1302/2058 - 5241.5.190081。
