7-13 Sacroiliac Joint Pain, Low Back Pain, Accessory SacroIliac Joint and Sciatica

    Joan Walker, in 1992 wrote “The sacroiliac joint: a critical review." in Physical Therapy. She gives a through report of the accessory sacroiliac joint, the problems that arise and contribution to back pain.
    “Accessory joints (ASIJ) are located at the level of the sacral crest, at the first and second posterior foramina, on the ilium at the medial surface of the posterior superior iliac spine (PSIS), and on the tuberosity. The joint plane was variable, at any angle up to 60 degrees relative to the auricular surface."
     She notes, “Although some investigators may have failed to detect these joints, others using CT scans, make no mention of either axial or accessory joints.”
    "The higher frequencies observed in adult samples with increasing age supports the theory that the ASIJ may be acquired as a result of the stress of weight bearing. Because the ASIJ is shown to be superficially located, it is possible that play may be detected by experienced manual therapists. Careful examination of radiographs for presence of such joints appears to be indicated. When present, it seems possible that motion at an ASIJ could be mistaken for SIJ motion and treatment intervention may be mistakenly applied.” 
    Eight-one years earlier in 1911, Derry noted, “a curious raised facet situated on the rough non-articular area, immediately behind the auricular surface of the ilium, which articulated, when the sacrum and ilium were in apposition, with a similar but somewhat depressed facet on the posterior surface of the sacrum .........Buy This Issue Today

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