Study: Are physical exams of SI joint accurate for diagnoses?

Spinal Tech

BMC Musculoskeletal Disorders published a new Level 1 study outlining the accuracy of clinical prediction to diagnose sacroiliac joint dysfunction.

The article is the first comprehensive systematic review of diagnostic accuracy studies. Researchers sought to develop clinical diagnostics rules for pinpointing common lumbar spine disorders.

 

The study revealed providers can diagnose SI joint as a source of low back with an "acceptable accuracy using three of five positive provocative maneuvers and the presence of pain localized over the posterior superior iliac spine when other sources of pain have been excluded."

 

The researchers concluded the clinical correlation of positive physical exams for SI joint pain is as good as or better than other low back pain exams.

 

"The takeaway of this review is that physical exam findings for the SI joint are more predictive of a positive SI joint block than most other physical exam tests for other low back conditions," said Mark Laslett, PhD, a study author.

 

SI-BONE develops the iFuse Implant System, which offers a minimally invasive way to fuse the SI joint. The technology's triangular titanium implants fit within the ilium and sacrum.

 

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