SPECIAL FOCUS: SpineThe diagnosis and treatment of sacroiliac joint abnormalitiesStark, John G.Author Information Stark Specialty Orthopaedics, Minneapolis, MN Correspondence to John G. Stark, MD, Stark Specialty Orthopaedics, 825 Nicollet Mall, Suite 715, Minneapolis, MN 55402 Tel: +612 332 2324; fax: +612 332 1019; e-mail: [email protected] Note: Titanium screws are not approved for this indication. BMP is not approved for this indication. This review article may refer to other off-label uses of devices. Current Orthopaedic Practice: July 2010 - Volume 21 - Issue 4 - p 336-347 doi: 10.1097/BCO.0b013e3181e511f3 Buy Metrics Abstract The sacroiliac joint (SIJ) is a highly studied but controversial area of orthopaedic diagnosis and treatment. Previous literature suggests that injuries and degeneration follow the patterns of other joints, and much is understood about its anatomic relationships, biomechanics and presentation. Nevertheless, historical literature has not resulted in a consensus on a standard method of diagnosis, or agreement on nonsurgical or surgical management. The diagnostic injection, although helpful, may support the diagnosis when present, but does not replace a cautious physical examination or exploration of other important findings. New methods of imaging and surgical treatment are reminders that answers for this difficult problem may be on the horizon. © 2010 Lippincott Williams & Wilkins, Inc.