SI joint Flashcards
SI joint is made up of: _____ and two ______ bones
It is both _____ and ______
sacrum; ilial
synovial; stable
SI joint has
_________ articular surfaces
________ sacrum
______ ______ reinforced by ligaments in multiple directions
Irregular
Keystone
Fibrous Capsule
Pubic Symphysis: _____ of the body
R & L pubic bones joint with _________ disk and ligaments
_________ joint
midline
fibrocartilage
ampiarthrodial
________ ________ ligament
Attaches the pubic tubercles on each side
Strengthens the joint _____ and ______
Superior Pubic
superior; anterior
________ ________ ligament
attaches between the two inferior pubic rami
Strengthens the joint inferiorly
Inferior Pubic
SI joint is designed for ______ and has very _______ mobility
stability
mobility
With SI joint dysfunction, it can be confirmed only by a ____-______ imaging machine for position and motion
RSA; 3D
Incidence
20% during ________
10-25% NOT Pregnant with _______
pregnancy
LBP
Risk Factors
_______ and _______ changes
During ________
- Prior ______ and _______
- Increased ______ and _____
Laxity; hormonal
pregnancy
LBP; trauma
load; laxity
Etiology
______-________: the period shortly before, during, and imeediately after giving birth
_______ skeletons (<8 years old) due to lack of bone _______ and _________
________
Peri Partum
Immature
irregularity congruency
trauma
Pathomechanics- __________/___________
hypermobility; instability
Symptoms
Localized to ______ (100%)
________ region and ______ hip
Possibly ______ ________ P!
SIJ
gluteal; lateral
pubic symphysis
Signs
Thoracolumbar A/PROM
NO consistent ________ pattern
with SI jt dysfunction
May have a concurrent _______ condition
motion
lumbar
Resisted/MMT
Impaired ______ muscles
Weak ____-______ hip mm.
local
anti; gravity
Stress Tests
SI ______ tests
at least _____ to be +
needs to be ______ together
provocation
3
clustered
Special Tests
String evidence for standing _____
x-ray
Motion Tests
+ _______ or _______ test- MOST useful but still unreliable
March; Gillet
Additional Special Tests:
________ and ________
ASLR
FABER
Imaging
NOT ________
_____ ______- Gold standard for diagnosis
diagnostic
SI block
PT Rx
POLICED
STM, modalities, acupuncture- ____ term for mm. guarding
_______ energy techniques unproven to reposition SI joint and likely for improving muscle function
short
muscle
MET focus is on ________ with ________ muscles and likely lumbar hypermobility/instability MET
stabilization
local
Hip muscles: _________ and ______ blend with ________ ligament
GMax; Hamstrings
Sacrotuberous
Thoracolumbar fascia blends with _____/_______/_______ and _______ ligaments
Lat
TA
erector spinal
iliolumbar
With PT Rx, you want to do early ______ without ________
Reassurance of ______ prognosis
movement; provocation
good
MD Rx
Intra-articular SIJ injections are NOT recommended unless for _________ _________
ankylosing spondylitis
Prognosis
Symptoms rapidly decline during first ______ months after pregnancy most
________ pain during pregnancy led to persistent symptoms in 2% of cases 2 years later
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