Sacroiliac injury – is objective evaluation actually possible?

Introduction Pain in the region of the sacroiliac (SI) joint is a relevant and frequently discussed topic and is a recognised cause of lameness and poor performance in sport and leisure horses [1]. Due to the anatomy of the SI joint and the mostly nonspecific clinical signs, the evaluation of injury or pain affecting the SI joint remains a diagnostic challenge [2]. Understanding SI joint disease requires good anatomical and biomechanical knowledge of the pelvic region and neighbouring structures. Diagnosis involves the combination of a thorough clinical examination – ideally including a ridden assessment – with diagnostic local anaesthesia and the application of suitable diagnostic imaging modalities such as ultrasonography and/or scintigraphy ...