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The sacroiliac joint or SI joint (SIJ) is the joint between the sacrum and the ilium bones of the pelvis, which are connected by strong ligaments. In humans, the sacrum supports the spine and is supported in turn by an ilium on each side.
Sacroiliac joint dysfunction is an outcome of either extra-articular dysfunction or from intraarticular dysfunction. SI joint dysfunction is sometimes referred to as "sacroiliac joint instability" or "sacroiliac joint insufficiency" due to the support the once strong and taut ligaments can no longer sustain.
The posterior sacroiliac ligament is situated in a deep depression between the sacrum and ilium behind; it is strong and forms the chief bond of union between the bones. It consists of numerous fasciculi , which pass between the bones in various directions.
The major function of the interosseous sacroiliac ligament is to keep the sacrum and ilium together. [2] This prevents abduction or distraction of the sacroiliac joint. [2] It also helps to bear the weight of the thorax, upper limbs, head, and neck. This is performed by the nearly horizontal direction of the fibers running perpendicular from ...
The iliolumbar ligament and lumbosacral ligaments are attached to the ala. In the middle of the base is a large oval articular surface, the upper surface of the body of the first sacral vertebra, which is connected with the under surface of the body of the last lumbar vertebra by an intervertebral fibrocartilage .
The anterior sacroiliac ligament consists of numerous thin bands, which connect the anterior surface of the lateral part of the sacrum to the margin of the auricular surface of the ilium and to the preauricular sulcus.
In the spine, there is bone formation along the anterior longitudinal ligament and sometimes the posterior longitudinal ligament, which may lead to partial or complete fusion of adjacent vertebrae. The facet and sacroiliac joints tend to be uninvolved. The thoracic spine is the most common level involved. [2]
The posterior sacrococcygeal ligament or dorsal sacrococcygeal ligament [1] is a ligament which stretches from the sacrum to the coccyx and thus dorsally across the sacrococcygeal symphysis shared by these two bones. This ligament is divisible in two parts: A short deep part which unites the two bones, and a larger superficial portion which ...