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manuelletherapie 2005; 9(1): 37-43
DOI: 10.1055/s-2005-857945
Fachwissen Funktionelle Anatomie

© Georg Thieme Verlag KG Stuttgart · New York

Einfluss des Lig. iliolumbale auf die Stabilität des Sakroiliakalgelenks[*]

Teil 1Influence of the Iliolumbar Ligament on the Stability of the Sacroiliac JointA. Pool-Goudzwaard1, 4 , G. Hoek van Dijke1 , P. Mulder2 , C. Spoor1 , C. Snijders1 , R. Stoeckart3
  • 1Fakultät f. Medizin und verwandte Gesundheitswissenschaften des Erasmus Medical Center, NL-Rotterdam, Abt. f. Biomedizinische Physik und Technologie
  • 2Fakultät f. Medizin und verwandte Gesundheitswissenschaften des Erasmus Medical Center, NL-Rotterdam, Abt. f. Epidemiologie und Biostatistik
  • 3Fakultät f. Medizin und verwandte Gesundheitswissenschaften des Erasmus Medical Center, NL-Rotterdam, Abt. f. Anatomie
  • 4Medical Center Impact, NL-Zoetermeer
Die Autoren danken der Vereniging Trustfonds Erasmus Universiteit für die finanzielle Unterstützung, J. Velkers und C. Entius für ihre Bemühungen sowie J. Twisk für seine Ratschläge.
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Publication History

Publication Date:
03 March 2005 (online)

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Zusammenfassung

An menschlichen Leichen wurde der Einfluss des Lig. iliolumbale auf die Stabilität der SIG getestet, während zunehmende Momente auf diese einwirken. Es stellte sich heraus, dass die Ligg. iliolumbalia die sagittale Mobilität des SIG beschränken, wobei ihre ventralen Bänder am meisten zu dieser Beschränkung beitragen.

Abstract

The influence of the iliolumbar ligaments on the stability of the sacroiliac joint was investigated during the application of increasing moments of force across the joint in human cadavers. It could be established that the iliolumbar ligaments restrict the sagittal mobility of the sacroiliac joint. The ventral ligaments contribute most to this restriction.

Schlüsselwörter

Lig. iliolumbale - SIG - Beschränkung der Gelenkbeweglichkeit

Key words

Iliolumbar ligament - sacroiliac joint - limited joint mobility

1 * Engl. Original erschienen in: Clinical Biomechanics. 2003;18:99 - 105.

Literatur

  • 1 Adams M A, Hutton W C. Prolapsed intervertebral disc. A hyperflexion injury.  Spine. 1982;  7 184-191
    CrossrefPubMedSearch in Google Scholar
  • 2 Brinckman P. Injury of the annulus fibrosus and disc protrusions; an in vitro investigation on human lumbar discs.  Spine. 1986;  11 149-153
    PubMedSearch in Google Scholar
  • 3 Broadhurst N. The iliolumbar ligament syndrome.  Aust Fam Phys. 1989;  18 522
    PubMedSearch in Google Scholar
  • 4 Broudeur P, Larroque C H, Passeron R. et al . Le syndrome ilio-lombaire.  Revue du Rhum. 1982;  49 693-698
    PubMedSearch in Google Scholar
  • 5 Chow D HK, Luk D K, Leong J CY. et al . Torsional stability of the lumbosacral junctions. Significance of the iliolumbar ligament.  Spine. 1989;  14 611-615
    PubMedSearch in Google Scholar
  • 6 Hides J A, Stokes N J, Saide M. et al . Evidence of lumbar multifidus wasting ipsilateral to symptoms in patients with acute/subacute low back pain.  Spine. 1994;  19 165-177
    CrossrefPubMedSearch in Google Scholar
  • 7 Indahl A, Kaigle A, Reikerås O. et al . Sacroiliac joint involvement in activation of the porcine spinal and gluteal musculature.  J of Spinal Dis. 1999;  12 325-330
    PubMedSearch in Google Scholar
  • 8 Jull G A, Richardson C A. Rehabilitation of active stabilisation of the lumbar spine. Twomey LT, Taylor JR Physical Therapy of the Lumbar Spine: 2nd ed New York; Churchill Livingstone 1999
    Search in Google Scholar
  • 9 Keller T S, Holm S H, Hanson T H. et al . The dependence of intervertebral disc mechanical properties on physiologic conditions.  Spine. 1990;  15 751-761
    PubMedSearch in Google Scholar
  • 10 Leong J CY, Luk D K, Chow D HK. et al . The biomechanical functions of the iliolumbar ligament in maintaining stability of the lumbosacral junction.  Spine. 1987;  12 669-671
    CrossrefPubMedSearch in Google Scholar
  • 11 Nachemson A. Disc pressure measurements.  Spine. 1981;  6 93-97
    PubMedSearch in Google Scholar
  • 12 Naeim F, Froetscher L, Hirschberg G G. Treatment of the chronic iliolumbar syndrome by infiltration of the iliolumbar ligament.  West J Med. 1982;  136 372-374
    PubMedSearch in Google Scholar
  • 13 Pool-Goudzwaard A L, Vleeming A, Stoeckart R. et al . Insufficient lumbopelvic stability. A clinical, anatomical and biomechanical approach to „non-specific low back pain”.  Manual Ther. 1998;  3 12-20
    CrossrefPubMedSearch in Google Scholar
  • 14 Pool-Goudzwaard A L, Kleinrensink G J, C E ntius. et al . The sacroiliac part of the iliolumbar ligament.  J of Anat. 2001;  199 457-463
    CrossrefPubMedSearch in Google Scholar
  • 15 Richardson C A, Jull G A. Muscle control - pain control. What exercises would you prescribe?.  Manual Ther. 1995;  1 2-10
    CrossrefPubMedSearch in Google Scholar
  • 16 Richardson C A, Snijders C J, Hides J A. et al . The relationship between the transversus abdominis muscles, sacroiliac joint mechanics and low back pain.  Spine. 2002;  27 399-405
    CrossrefPubMedSearch in Google Scholar
  • 17 Riihimaki H. Low back pain - its origin and risk indicators.  Scand J Work Environ Health. 1991;  17 81-90
    PubMedSearch in Google Scholar
  • 18 Rucco V, Basadonna P T, Gasparini D. Anatomy of the iliolumbar ligament.  Am J Phys Med & Rehab. 1996;  75 451-455
    PubMedSearch in Google Scholar
  • 19 Sims J A, Moorman S J. The role of the iliolumbar ligament in low back pain.  Med Hypothesis. 1996;  46 511-515
    CrossrefPubMedSearch in Google Scholar
  • 20 Snijders C J, Vleeming A, Stoeckart R. Transfer of lumbosacral load to iliac bones and legs. Part 1: Biomechanics of selfbracing of the sacroiliac joints and its significance for treatment and exercise.  Clin Biomech. 1993;  8 285-294
    CrossrefPubMedSearch in Google Scholar
  • 21 Snijders C J, Vleeming A, Stoeckart R. Transfer of lumbosacral load to iliac bones and legs. Part 2: Loading of the sacroiliac joint when lifting in stooped posture.  Clin Biomech. 1993;  8 295-301
    CrossrefPubMedSearch in Google Scholar
  • 22 Snijders C J, Vleeming A, Stoeckart R. et al .Biomechanics of the interface between spine and pelvis in different postures. In: Vleeming A, Mooney V, Dorman T, Snijders CJ, Stoeckart R Movement, Stability and Low Back Pain New York; Churchill Livingstone 1997
    Search in Google Scholar
  • 23 Vleeming A, van Wingerden J P, Snijders C J. et al . Load application to the sacrotuberous ligament; influences on sacroiliac joint mechanics.  Clin Biomech. 1989;  4 204-209
    CrossrefPubMedSearch in Google Scholar
  • 24 Vleeming A, Pool-Goudzwaard A L, Hammudoghlu D. et al . The function of the long dorsal sacroiliac ligament: its implication for understanding low back pain.  Spine. 1996;  21 556-562
    CrossrefPubMedSearch in Google Scholar
  • 25 Waddell G. A new clinical model for treatment of low back pain.  Spine. 1987;  12 632-644
    PubMedSearch in Google Scholar
  • 26 van Wingerden J P, Vleeming A, Snijders C J. et al . A functional-anatomical approach to the spine-pelvis mechanism: interaction between the biceps femoris muscle and the sacrotuberous ligament.  Eur Spine J. 1993;  2 140-144
    CrossrefPubMedSearch in Google Scholar
  • 27 Yamamoto I, Panjabi M M, Crisco J J. et al . Three-dimensional movements of the whole lumbar spine and lumbosacral joint.  Spine. 1989;  14 1256-1260
    PubMedSearch in Google Scholar
  • 28 Yamamoto I, Panjabi M M, Oxland T R. et al . The role of the iliolumbar ligament in the lumbosacral junction.  Spine. 1990;  15 1138-1141
    PubMedSearch in Google Scholar

1 * Engl. Original erschienen in: Clinical Biomechanics. 2003;18:99 - 105.

Anneliese Pool-Goudzwaard

Fakultät für Medizin und verwandte Gesundheitswissenschaft des Erasmus Medical Center. Abt. Biomedizinische Physik und Technologie

Postbus 1738

3000 DR Rotterdam, Niederlande

Phone: + 31104087353

Email: a.goudzwaard@erasmusmc.nl