SI joint Flashcards

1
Q

SI joint is made up of: _____ and two ______ bones

It is both _____ and ______

A

sacrum; ilial
synovial; stable

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2
Q

SI joint has
_________ articular surfaces
________ sacrum
______ ______ reinforced by ligaments in multiple directions

A

Irregular
Keystone
Fibrous Capsule

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3
Q

Pubic Symphysis: _____ of the body

R & L pubic bones joint with _________ disk and ligaments

_________ joint

A

midline
fibrocartilage
ampiarthrodial

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4
Q

________ ________ ligament

Attaches the pubic tubercles on each side

Strengthens the joint _____ and ______

A

Superior Pubic
superior; anterior

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5
Q

________ ________ ligament

attaches between the two inferior pubic rami

Strengthens the joint inferiorly

A

Inferior Pubic

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6
Q

SI joint is designed for ______ and has very _______ mobility

A

stability
little

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7
Q

With SI joint dysfunction, it can be confirmed only by a ____-______ imaging machine for position and motion

A

RSA; 3D

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8
Q

Incidence
20% during ________
10-25% NOT Pregnant with _______

A

pregnancy
LBP

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9
Q

Risk Factors
_______ and _______ changes

During ________
- Prior ______ and _______
- Increased ______ and _____

A

Laxity; hormonal
pregnancy
LBP; trauma
load; laxity

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10
Q

Etiology
______-________: the period shortly before, during, and imeediately after giving birth

_______ skeletons (<8 years old) due to lack of bone _______ and _________

________

A

Peri Partum
Immature
irregularity congruency
trauma

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11
Q

Pathomechanics- __________/___________

A

hypermobility; instability

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12
Q

Symptoms
Localized to ______ (100%)
________ region and ______ hip
Possibly ______ ________ P!

A

SIJ
gluteal; lateral
pubic symphysis

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13
Q

Signs
Thoracolumbar A/PROM
NO consistent ________ pattern
with SI jt dysfunction

May have a concurrent _______ condition

A

motion
lumbar

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14
Q

Resisted/MMT
Impaired ______ muscles
Weak ____-______ hip mm.

A

local
anti; gravity

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15
Q

Stress Tests
SI ______ tests
at least _____ to be +
needs to be ______ together

A

provocation
3
clustered

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16
Q

Special Tests
Strong evidence for standing _____

A

x-ray

17
Q

Motion Tests
+ _______ or _______ test- MOST useful but still unreliable

A

March; Gillet

18
Q

Additional Special Tests:
________ and ________

A

ASLR
FABER

19
Q

Imaging
NOT ________
_____ ______- Gold standard for diagnosis

A

diagnostic
SI block

20
Q

PT Rx
POLICED
STM, modalities, acupuncture- ____ term for mm. guarding

_______ energy techniques unproven to reposition SI joint and likely for improving muscle function

A

short
muscle

21
Q

MET focus is on ________ with ________ muscles and likely lumbar hypermobility/instability MET

A

stabilization
local

22
Q

Hip muscles: _________ and ______ blend with ________ ligament

A

GMax; Hamstrings
Sacrotuberous

23
Q

Thoracolumbar fascia blends with _____/_______/_______ and _______ ligaments

A

Lat
TA
erector spinae
iliolumbar

24
Q

With PT Rx, you want to do early ______ without ________

Reassurance of ______ prognosis

A

movement; provocation
good

25
Q

MD Rx
Intra-articular SIJ injections are NOT recommended unless for _________ _________

A

ankylosing spondylitis

26
Q

Prognosis
Symptoms rapidly decline during first ______ months after pregnancy most

________ pain during pregnancy led to persistent symptoms in 2% of cases 2 years later

A

3