Daum W J
Department of Orthopaedics, University of Texas Health Science Center-Houston, USA.
Am J Orthop (Belle Mead NJ). 1995 Jun;24(6):475-8.
The sacroiliac joint itself and the specific diagnosis of sacroiliac dysfunction are both underappreciated causes of pain in the low back, the pelvis, and the proximal lower extremities. An anatomically atypical synovial joint, its extensive innervation accounts for multiple modes of pain presentation. The joint and its associated ligament complex are subjected to rather constant and significant stresses. These combined factors contribute to the body of patients who present with low-back, buttock, proximal-thigh, and groin pain. Physical examination usually is an attempt to assess for presumed abnormal motion of the sacroiliac or to provoke discomfort by stressing that joint. Nonoperative treatment is usually physical therapy, and both diagnostic and therapeutic injection of the sacroiliac joint may be employed. Surgery is a treatment of last resort. There is a lack of long-term studies that address the natural history of this problem and its treatment.
骶髂关节本身以及骶髂关节功能障碍的具体诊断，都是下背部、骨盆和下肢近端疼痛未得到充分认识的原因。作为一个解剖结构不典型的滑膜关节，其广泛的神经支配导致了多种疼痛表现形式。该关节及其相关的韧带复合体承受着相当持续且显著的压力。这些综合因素导致了出现下背部、臀部、大腿近端和腹股沟疼痛的患者群体。体格检查通常是试图评估骶髂关节假定的异常活动，或通过对该关节施压来引发不适。非手术治疗通常是物理治疗，也可采用骶髂关节的诊断性和治疗性注射。手术是最后的治疗手段。目前缺乏针对该问题自然病程及其治疗的长期研究。
