What are the classification criteria for sacroiliac joint dislocation? How to treat sacroiliac joint dislocation?

The sacroiliac joint is the joint that connects the sacrum and ilium. If the sacroiliac joint is dislocated, it will cause great pain to the patient, especially causing symptoms of lower back, buttocks and sciatica, affecting the patient's normal life. There are several different types of sacroiliac joint dislocations, depending on the way they occur. There are two main methods for treating sacroiliac joint dislocation: reduction technique and adjustment technique!

Sacroiliac joint dislocation can cause symptoms of low back, hip and sciatica. It is one of the common causes of low back and leg pain and is relatively common in clinical practice. Traditional Chinese medicine calls it "rib displacement". Many scholars have reported their experience in the diagnosis and treatment of this disease. Some only talked about clinical symptoms, signs and one or several treatment methods, but no classification was seen; some proposed classification and treatment methods, but the classification standards were few and difficult to distinguish, making them inconvenient to master; there is no consensus on this.

1. Classification Standards

Sacroiliac joint dislocation is divided into anterior dislocation and posterior dislocation. Anterior dislocation type: the posterior superior iliac spine is more concave than the opposite side, the distance from the posterior superior iliac spine to the posterior midline is widened, the level of the iliac crest is lowered, the pubic symphysis is moved downward, and the longitudinal diameter of the obturator foramen is shortened; posterior dislocation type: the posterior superior iliac spine is more convex than the opposite side, the distance from the posterior superior iliac spine to the posterior midline is narrowed, the level of the iliac crest is raised, the pubic symphysis is moved upward, and the longitudinal diameter of the obturator foramen is increased.

2. Treatment Methods: Repositioning Techniques

The anterior dislocation type uses the hip flexion and knee flexion pressing method: the patient lies in a supine position, the assistant fixes the healthy limb in an extended position, the doctor stands on the affected side, facing the patient, supports the ankle of the affected limb with one hand, and presses the upper end of the calf near the knee joint with the other hand, flexes the hip and knee so that the knee joint points to the opposite hypochondrium, flexes the hip as much as possible and presses with force, using rapid force and releasing and retracting, and you can often feel a snap. The posterior dislocation type uses the foot hyperextension method: the patient lies prone, the doctor stands horizontally on the affected side of the patient, facing the patient's foot, and pushes the heel of the patient's adjacent foot on the posterior superior iliac spine of the affected side. Both hands lift the ankle of the affected limb to extend the affected limb as far back as possible and lift the iliac part of the affected side 10 cm off the bed. At the same time, the heel pushes down with force, and the force is released and retracted quickly, and you can often feel a popping sound.

3. Adjustment of treatment techniques

After the reduction technique is completed, the patient lies on his back with the healthy limb straightened. The doctor stands on the affected side, holding the ankle of the affected limb with one hand and the knee with the other hand, allowing the affected limb to flex the hip and knee as much as possible. Then, in the hip abduction position and with the patient's active cooperation in extending the leg, the doctor suddenly pulls and straightens the affected limb. Repeat this three times.

4. Post-processing

After the manipulation, the patient is placed in the supine position with the affected limb abducted and immobilized for 3 days, with a total of 1 week in bed, after which he or she can get out of bed and move around under the guidance of a doctor. If the effect is not satisfactory, the treatment will be repeated with the same method as before.