Sacroiliac joint

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Synonyms: Kreuzbein-Darmbein-Gelenk, Articulatio sacroiliaca, ISG

The sacroiliac joint is the articular connection between the sacrum and the ilium. It connects the spine with the pelvic girdle[^1].

Anatomy

The SI joint is an amphiarthrosis. This means that it is a true joint with a joint space and capsule, but its mobility is severely limited by a tight ligamentous apparatus.

Biomechanics

Although mobility is minimal (approx. 2° to 4°), two specific tilting movements of the sacrum are defined:

  • Nutation: The base of the sacrum tilts forward and downward, the apex backward and upward. The pelvic inlet becomes narrower, the outlet wider.

  • Counter-nutation: The base of the sacrum tilts backward and upward. The pelvic inlet becomes wider, the outlet narrower.

Figure

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