Evidence map›Paper›PMID 34675642›Full record

ReviewJournal of pain research2021

Successful Diagnosis of Sacroiliac Joint Dysfunction.

Patrick Buchanan, Shashank Vodapally, David W Lee, Jonathan M Hagedorn, Christopher Bovinet, Natalie Strand, Dawood Sayed, Timothy Deer

Open access · goldAbstract readReview
In one paragraph

Review in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Interventional treatments for low back pain due to sacroiliac joint dysfunction: a systematic review of the literature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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  5. [Effect of sacrum-stabilized iliac traction on the stress and displacement of sacroiliac joint and iliolumbar ligament].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
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  6. Spondyloarthritis in Latin America: a difficult-to-diagnose challenge.Therapeutic advances in musculoskeletal disease · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 1 country.

Patrick BuchananDepartment of Pain Medicine, Spanish Hills Interventional Pain Specialists, Camarillo, CA, USA.ORCID 0000-0001-6514-9234
Shashank VodapallyDepartment of Physical Medicine and Rehabilitation, Michigan State University, East Lansing, MI, USA.
David W LeeDepartment of Pain Medicine, Fullerton Orthopedic Surgery Medical Group, Fullerton, CA, USA.
Jonathan M HagedornDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1039-8166
Christopher BovinetDepartment of Pain Medicine, The Spine Center of Southeast Georgia, Brunswick, GA, USA.
Natalie StrandDepartment of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-9489-2550
Dawood SayedDepartment of Anesthesiology, Division of Pain Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0001-8867-2140
Timothy DeerDepartment of Pain Medicine, The Spine and Nerve Center of the Virginias, Charleston, WV, USA.ORCID 0000-0001-8907-7730
Fullerton College · USMayo Clinic in Arizona · USMedical Advanced Pain Specialists · USMichigan State University · USThe Spine & Nerve Centers of the Virginias · USUniversity of Kansas Medical Center · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacroiliac joint (SIJ) pain is one of the most common causes of low back pain, accounting for 15 to 30% of all cases. Although SIJ dysfunction accounts for a large portion of chronic low back pain prevalence, it is often overlooked or under diagnosed and subsequently under treated. The purpose of this review was to establish a best practices model to effectively diagnose SIJ pain through detailed history, physical exam, review of imaging, and diagnostic block.

methodsA literature search was performed on the diagnosis of sacroiliac joint pain and sacroiliac joint dysfunction. The authors proposed diagnostic recommendations based upon the available literature and a detailed understanding of diagnosing SIJ pain.

resultsThe practitioner must focus on the history, location of pain, observed gait pattern, and perform key points of the physical exam including sacroiliac provocative maneuvers. If the patient exhibits at least three provocative maneuvers then the SIJ may be considered as a possible source of pain. Additionally, a thorough review of the imaging should be performed to rule out other etiologies of low back pain. In the absence of any pathognomonic tests or examination findings, diagnostic SIJ blocks have evolved as the diagnostic standard.

conclusionThe diagnosis of SIJ pain is a multifaceted process that involves a careful assessment including differentiating other pain generators in the region. This involves careful history taking, appropriate physical examination including provocative maneuvers and diagnostic injections. Once the diagnosis is confirmed, long-term solutions may be considered, including recent advances in sacral lateral branch denervation and sacroiliac joint fusion.

Indexed as

best practicesdiagnosislow back painreviewsacroiliac jointSIJ

Identifiers

PMID34675642
PMCPMC8517984
OpenAlexW3203176951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.