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Sacroiliac Joint Dysfunction in the Athlete: Diagnosis and Management

机译:运动员骶髂关节功能障碍:诊断和管理

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摘要

We write to point out a large number of misconceptions and omissions in this review (1) of mechanical dysfunction of the sacroiliac joint (SIJ). Most importantly, the article fails to consider the mechanical function of the sacroiliac joint, which is to fundamentally absorb torsion and transfer load. These concepts have been exhaustively covered in the work of Bogduk (2) and Vleeming (3-5). The anatomy and function of the sacroiliac joint also have been extensively covered in the review by Alderink (6) which is considered a classic citation. The integration of form and function has been modelled by Lee and Vleeming (7,8) who introduced the concept of form and force closure of the sacroiliac joint which has been used to successfully treat mechanical dysfunction of the sacroiliac joint by specialized physiotherapy in approximately 80% of cases (9). There is a vast body of literature that has addressed mechanical dysfunction of the sacroiliac joint as a peripartum syndrome in the pelvic girdle pain syndrome. The same concepts have been integrated into the setting of either discrete or repetitive trauma under the umbrella term of sacroiliac joint incompetence (10). This vast body of literature has been completely overlooked in the current review, although the pathophysiology is identical as has been shown in a number of recent publications (10,11).
机译:我们写信给骶髂关节机械功能障碍(SIJ)的综述(1)中的大量误解和遗漏。最重要的是,本文未能考虑骶髂关节的机械功能,这是从根本上吸收扭转和转移载荷。在Bogduk(2)和Vleeming的工作中,这些概念已经详尽地涵盖了(3-5)。骶髂关节的解剖和功能也被Alderink(6)的审查广泛涵盖,这被认为是经典的引文。形式和功能的整合已经由Lee和Vleeming(7,8)建模的(7,8)介绍了骶髂关节的形式和力闭合的概念,该骶髂关节通过专门的物理治疗在大约80中成功地治疗骶髂关节的机械功能障碍案件的%(9)。存在巨大的文学体系,在骨盆腰带疼痛综合征中解决了骶髂关节的机械功能障碍。在骶髂关节无能的情况下,相同的概念被整合到离散或重复创伤中的设置(10)。当前审查中,这种庞大的文学体系已经完全忽略了,尽管病理生理学是相同的,如许多最近出版物(10,11)所示。

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