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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2021; 62(02): e143-e152
DOI: 10.1055/s-0041-1728741
Review Article | Artículo de Revisión

Sacroiliac Joint Pain: An Updated Review of the Clinical Approach for Diagnosis

Article in several languages: español | English
Enrique Blanco 
1   Estudiante de Medicina, Universidad de Chile, Santiago, Chile
,
Sebastián Frías
2   Residente Traumatología y Ortopedia, Clínica Universidad de los Andes, Hospital Militar de Santiago, Santiago, Chile
,
Facundo Álvarez
3   Fellow de Columna, Clínica Universidad de los Andes, Santiago, Chile
,
José Fleiderman
4   Centro de columna, Traumatología y Ortopedia, Clínica Universidad de los Andes, Hospital del Trabajador. Universidad de los Andes, Santiago, Chile
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Abstract

Sacroiliac pain accounts for 15% to 30% of low back pain conditions. Its diagnosis is a challenge for the physician due to its complex anatomy, the wide differential diagnoses list, and its several causes. Diagnosis requires a structured clinical history and an accurate physical examination. Specific sacroiliac physical examination tests should be performed in patients with suspected sacroiliac joint pain and interpreted together, not in isolation. Magnetic resonance imaging can rule out other causes of low back pain or diagnose inflammatory sacroiliitis. Joint infiltration is the gold standard for diagnosis, and it should be performed in patients with a high suspicion of sacroiliac joint pain based on anamnesis, physical examination, and three or more positive specific sacroiliac tests.

Keywords

sacroiliac pain - physical examination - differential diagnosis - low back pain


Publication History

Received: 02 September 2020

Accepted: 21 January 2021

Article published online:
22 June 2021

© 2021. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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