Imaging of Sacroiliac Joints

Radiol Clin North Am. 2024 Sep;62(5):783-797. doi: 10.1016/j.rcl.2024.03.002. Epub 2024 Apr 6.

Abstract

The central role of imaging in diagnosing disorders affecting the sacroiliac joints (SIJs) necessitates a comprehensive understanding of the advantages, limitations, and potential pitfalls of the imaging techniques that can be used. In this article, the anatomy and biomechanics of SIJs are exposed, outlining their unique features, particularly the division into anteroinferior cartilaginous and postero-superior ligamentous parts. Overall, the goal of this article is to offer a comprehensive understanding of imaging techniques, anatomic complexity, and diagnostic considerations relevant to SIJs disorders, facilitating accurate diagnosis and patient management in clinical practice and research.

Keywords: Back pain; CT; MRI; Rheumatology; Sacroiliac joint; Spondyloarthritis.

Publication types

  • Review

MeSH terms

  • Humans
  • Joint Diseases / diagnostic imaging
  • Magnetic Resonance Imaging* / methods
  • Sacroiliac Joint* / diagnostic imaging
  • Tomography, X-Ray Computed / methods