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Sacral Iliac Joint Injection

  • History: usually follows a fall, or high velocity trauma (MVA)

  • PE: pain over SI joint, Patrick’s test, Gillet’s test

  • Radiology: not very useful unless there is sclerosis or partial fusion

  • Diagnosis: Gold Standard is flouroscopic guided injection of SI joint using dye and lidocaine

  • Treatment: SI joint injection with lidocaine and steroid and physical therapy

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