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

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.

Lig. iliolumbale - SIG - Beschränkung der Gelenkbeweglichkeit

Iliolumbar ligament - sacroiliac joint - limited joint mobility

Literatur

• 1 Adams M A, Hutton W C. Prolapsed intervertebral disc. A hyperflexion injury.  Spine. 1982;  7 184-191
• 2 Brinckman P. Injury of the annulus fibrosus and disc protrusions; an in vitro investigation on human lumbar discs.  Spine. 1986;  11 149-153
• 3 Broadhurst N. The iliolumbar ligament syndrome.  Aust Fam Phys. 1989;  18 522
• 4 Broudeur P, Larroque C H, Passeron R. et al . Le syndrome ilio-lombaire.  Revue du Rhum. 1982;  49 693-698
• 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
• 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
• 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
• 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
• 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
• 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
• 11 Nachemson A. Disc pressure measurements.  Spine. 1981;  6 93-97
• 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
• 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
• 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
• 15 Richardson C A, Jull G A. Muscle control - pain control. What exercises would you prescribe?.  Manual Ther. 1995;  1 2-10
• 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
• 17 Riihimaki H. Low back pain - its origin and risk indicators.  Scand J Work Environ Health. 1991;  17 81-90
• 18 Rucco V, Basadonna P T, Gasparini D. Anatomy of the iliolumbar ligament.  Am J Phys Med & Rehab. 1996;  75 451-455
• 19 Sims J A, Moorman S J. The role of the iliolumbar ligament in low back pain.  Med Hypothesis. 1996;  46 511-515
• 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
• 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
• 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
• 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
• 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
• 25 Waddell G. A new clinical model for treatment of low back pain.  Spine. 1987;  12 632-644
• 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
• 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
• 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

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