@Article{crph6238,
AUTHOR = {Widjaja, Hadi and Goenawan, Vonny Fibrianty and Siahaan, Yusak Mangara Tua and Pradhana, Tasya Meidy},
TITLE = {Clinical Characteristics of Block-Confirmed Sacroiliac Joint Arthropathy: Referral Pain Distribution, Triggering Positions, and Provocative Maneuvers},
JOURNAL = {Current Research in Public Health},
VOLUME = {5},
YEAR = {2025},
NUMBER = {1},
PAGES = {88-96},
URL = {https://www.scipublications.com/journal/index.php/WJCMR/article/view/6238},
ISSN = {2831-5162},
DOI = {10.31586/wjcmr.2025.6238},
ABSTRACT = {Background: The sacroiliac joint (SIJ) plays a crucial role in transmitting axial loads and maintaining pelvic stability. Sacroiliac joint arthropathy (SIJA) accounts for 10%–30% of low back pain cases but remains underrecognized due to overlapping pain referral patterns and nonspecific imaging findings. Diagnosis relies primarily on characteristic pain distribution and provocative maneuvers, with image-guided intra-articular block serving as the diagnostic gold standard. This study aimed to characterize the clinical profile of block-confirmed SIJA, emphasizing referral pain distribution, triggering position, and provocative test responses. Methods: A cross-sectional study was conducted on 98 patients with diagnostic block–confirmed SIJA at Siloam Hospital Lippo Village, Indonesia. Demographic data, referral pain sites, sitting duration, and results of FABER, compression, and distraction tests were analyzed descriptively. Results: The mean age was 52.07 ± 14.17 years, with 72.4% females. Referral pain most frequently involved the lower back (28.6%) and thigh (28.6%), with occasional extension to the groin (8.2%) or calf (4.1%). Over half of patients (55.1%) reported sitting more than six hours daily. Pain was predominantly triggered during sit-to-stand transitions (85.7%) and while sitting (74.5%). SIJ tenderness (98.0%) and FABER positivity (75.5%) were most consistent. Conclusion: The dominant referral pain in SIJA involves the lower back and posterior thigh. Sit-to-stand transition is the most frequent triggering position, while FABER testing demonstrates the highest diagnostic yield among provocative maneuvers. These consistent patterns may serve as practical clinical indicators to improve diagnostic accuracy in suspected SIJ-related pain.},
}

%0 Journal Article
%A Widjaja, Hadi
%A Goenawan, Vonny Fibrianty
%A Siahaan, Yusak Mangara Tua
%A Pradhana, Tasya Meidy
%D 2025
%J Current Research in Public Health

%@ 2831-5162
%V 5
%N 1
%P 88-96

%T Clinical Characteristics of Block-Confirmed Sacroiliac Joint Arthropathy: Referral Pain Distribution, Triggering Positions, and Provocative Maneuvers
%M doi:10.31586/wjcmr.2025.6238
%U https://www.scipublications.com/journal/index.php/WJCMR/article/view/6238

TY  - JOUR
AU  - Widjaja, Hadi
AU  - Goenawan, Vonny Fibrianty
AU  - Siahaan, Yusak Mangara Tua
AU  - Pradhana, Tasya Meidy
TI  - Clinical Characteristics of Block-Confirmed Sacroiliac Joint Arthropathy: Referral Pain Distribution, Triggering Positions, and Provocative Maneuvers
T2  - Current Research in Public Health
PY  - 2025
VL  - 5
IS  - 1
SN  - 2831-5162
SP  - 88
EP  - 96
UR  - https://www.scipublications.com/journal/index.php/WJCMR/article/view/6238
AB  - Background: The sacroiliac joint (SIJ) plays a crucial role in transmitting axial loads and maintaining pelvic stability. Sacroiliac joint arthropathy (SIJA) accounts for 10%–30% of low back pain cases but remains underrecognized due to overlapping pain referral patterns and nonspecific imaging findings. Diagnosis relies primarily on characteristic pain distribution and provocative maneuvers, with image-guided intra-articular block serving as the diagnostic gold standard. This study aimed to characterize the clinical profile of block-confirmed SIJA, emphasizing referral pain distribution, triggering position, and provocative test responses. Methods: A cross-sectional study was conducted on 98 patients with diagnostic block–confirmed SIJA at Siloam Hospital Lippo Village, Indonesia. Demographic data, referral pain sites, sitting duration, and results of FABER, compression, and distraction tests were analyzed descriptively. Results: The mean age was 52.07 ± 14.17 years, with 72.4% females. Referral pain most frequently involved the lower back (28.6%) and thigh (28.6%), with occasional extension to the groin (8.2%) or calf (4.1%). Over half of patients (55.1%) reported sitting more than six hours daily. Pain was predominantly triggered during sit-to-stand transitions (85.7%) and while sitting (74.5%). SIJ tenderness (98.0%) and FABER positivity (75.5%) were most consistent. Conclusion: The dominant referral pain in SIJA involves the lower back and posterior thigh. Sit-to-stand transition is the most frequent triggering position, while FABER testing demonstrates the highest diagnostic yield among provocative maneuvers. These consistent patterns may serve as practical clinical indicators to improve diagnostic accuracy in suspected SIJ-related pain.
DO  - Clinical Characteristics of Block-Confirmed Sacroiliac Joint Arthropathy: Referral Pain Distribution, Triggering Positions, and Provocative Maneuvers
TI  - 10.31586/wjcmr.2025.6238
ER  -