{"id":10551,"date":"2024-08-21T23:32:33","date_gmt":"2024-08-21T23:32:33","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/differentiating-buttock-pain-and-sacroiliac-joint-disorders-fr\/"},"modified":"2024-08-26T19:06:06","modified_gmt":"2024-08-26T19:06:06","slug":"differentiating-buttock-pain-and-sacroiliac-joint-disorders-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/differentiating-buttock-pain-and-sacroiliac-joint-disorders-fr\/","title":{"rendered":"Diff\u00e9rencier les douleurs fessi\u00e8res et les troubles de l\u2019articulation sacro-iliaque"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dactrice originale <\/b> &#8211; <a title=\"User:Jessie Tourwe\" href=\"\/User:Jessie_Tourwe\">Jessie Tourwe<\/a><\/p>\n<p><b>Principales collaboratrices <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Mariam Hashem\" href=\"\/User:Mariam_Hashem\"><bdi>Mariam Hashem <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Lucinda hampton\" href=\"\/User:Lucinda_hampton\"><bdi>Lucinda Hampton <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\" href=\"\/User:Ewa_Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#What_Is_Causing_the_Pain?\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Quelle est la cause de la douleur ?<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Structural_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Anatomie structurale<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Differential_Diagnosis\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Diagnostic diff\u00e9rentiel<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Ruling_Out_the_Lumbar_Spine\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">\u00c9carter le rachis lombaire<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Ruling_Out_the_Sacroiliac_Joint\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">\u00c9carter l&rsquo;articulation sacro-iliaque<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Ruling_Out_Deep_Gluteal_Pathology\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Exclure une pathologie glut\u00e9ale profonde<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Ruling_Out_Piriformis_Syndrome\"><span class=\"tocnumber\">3.4<\/span> <span class=\"toctext\">Exclure le syndrome du piriforme<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Resources\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"What_Is_Causing_the_Pain.3F\"><\/span><span id=\"What_Is_Causing_the_Pain?\" class=\"mw-headline\">Quelle est la cause de la douleur ? <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: What Is Causing the Pain?\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: What Is Causing the Pain?\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le diagnostic de la douleur glut\u00e9ale ou fessi\u00e8re est compliqu\u00e9 en raison du chevauchement des sympt\u00f4mes de nombreuses affections telles que : <sup id=\"cite_ref-:0_1-0\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Lumbar_Radiculopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Lumbar_Radiculopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">douleur radiculaire d&rsquo;origine lombaire;<\/a><\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Sciatica?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Sciatica?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">compression du nerf sciatique;<\/a><\/a><\/li>\n<li>syndrome de <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Obturator_Internus?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">l&rsquo;obturateur interne et du jumeau;<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Piriformis_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">syndrome du piriforme;<\/a><\/li>\n<li>pathologie du muscle <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Quadratus_Femoris?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">carr\u00e9 crural<\/a>\/conflit ischio-f\u00e9moral;<\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Proximal_Hamstring_Tendinopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Proximal_Hamstring_Tendinopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">probl\u00e8mes des ischiojambiers;<\/a><\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Gluteal_Tendinopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Gluteal_Tendinopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">troubles des muscles glut\u00e9aux.<\/a><\/a><\/li>\n<\/ul>\n<p>Le diagnostic diff\u00e9rentiel de la douleur et du dysfonctionnement est un d\u00e9fi en raison de l&rsquo;<i>anatomie complexe de l&rsquo;articulation sacro-iliaque<\/i>, du rachis lombaire et de la r\u00e9gion glut\u00e9ale. Le diagnostic est rendu encore plus difficile par l&rsquo;<i>incoh\u00e9rence entre les r\u00e9sultats de l&rsquo;<a title=\"MRI Scans\" href=\"\/MRI_Scans\">IRM<\/a><\/i> ou de l&rsquo;imagerie et les sympt\u00f4mes cliniques, ce qui conduit souvent \u00e0 des erreurs de diagnostic. L&rsquo;utilisation de mesures d&rsquo;\u00e9valuation subjectives et de tests sp\u00e9ciaux peut donner une id\u00e9e des sympt\u00f4mes, mais ne pr\u00e9cise pas la source de la douleur. <sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup> \u00c0 ce jour, il n&rsquo;existe pas de lignes directrices \u00e9tablies pour le diagnostic de la douleur glut\u00e9ales. <sup id=\"cite_ref-:2_3-0\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup><\/p>\n<p>La chronicit\u00e9 des sympt\u00f4mes pourrait \u00eatre due \u00e0 des facteurs <a title=\"Biopsychosocial Model\" href=\"\/Biopsychosocial_Model\">psychosociaux<\/a>, mais ne devrait pas exclure une pathologie structurelle. Le d\u00e9veloppement de la <a title=\"Chronic Pain and the Brain\" href=\"\/Chronic_Pain_and_the_Brain\">douleur chronique<\/a> peut \u00eatre le r\u00e9sultat d&rsquo;une <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Pain_Catastrophizing_Scale?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">dramatisation<\/a> et d&rsquo;un <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Fear_Avoidance_Model?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">\u00e9vitement de la peur<\/a> apr\u00e8s qu&rsquo;une douleur structurelle primaire ait \u00e9t\u00e9 manqu\u00e9e. <sup id=\"cite_ref-:1_4-0\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup> Cela peut contribuer \u00e0 la difficult\u00e9 d&rsquo;identifier la cause du dysfonctionnement et de la douleur.<\/p>\n<h2><span id=\"Structural_Anatomy\" class=\"mw-headline\">Anatomie structurale <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Structural Anatomy\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Structural Anatomy\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"tright\"><a class=\"image\" href=\"\/File:Piriformis,_gemmeli,_obturator,_quadratus_femoris.PNG\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/18\/Piriformis%2C_gemmeli%2C_obturator%2C_quadratus_femoris.PNG\/300px-Piriformis%2C_gemmeli%2C_obturator%2C_quadratus_femoris.PNG\" srcset=\"https:\/\/www.physio-pedia.com\/images\/1\/18\/Piriformis%2C_gemmeli%2C_obturator%2C_quadratus_femoris.PNG 1.5x\" alt=\"Piriformis, gemmeli, obturator, quadratus femoris.PNG\" width=\"300\" height=\"364\" data-file-width=\"360\" data-file-height=\"437\"><\/a><\/div>\n<p>L&rsquo;<a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Sacroiliac_Joint?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">articulation sacro-iliaque<\/a> est ce qui relie le rachis et le bassin. <sup id=\"cite_ref-:42_5-0\" class=\"reference\"><a href=\"#cite_note-:42-5\">(5)<\/a><\/sup> Il s&rsquo;agit d&rsquo;une large diarthrose <sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup> compos\u00e9e du sacrum et des os iliaques, de chaque c\u00f4t\u00e9. Chaque os iliaque est form\u00e9 par la fusion des trois os du bassin : l&rsquo;ilion, l&rsquo;ischion et le pubis.<sup id=\"cite_ref-:42_5-1\" class=\"reference\"><a href=\"#cite_note-:42-5\">(5)<\/a><\/sup><\/p>\n<p>L&rsquo;articulation sacro-iliaque a diff\u00e9rentes fonctions :<\/p>\n<ul>\n<li>transmission des charges entre le rachis et les membres inf\u00e9rieurs;<\/li>\n<li>absorption des chocs;<\/li>\n<li>transmission des couples des membres inf\u00e9rieurs au reste du corps. <sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<p>Cette r\u00e9gion est entour\u00e9e et recouverte par les branches post\u00e9rieures des nerfs sacr\u00e9s, le ligament iliolombaire, les ligaments sacro-iliaques post\u00e9rieurs, ainsi que par le fascia des <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Erector_Spinae?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">\u00e9recteurs du rachis<\/a>, qui fait partie du <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Thoracolumbar_Fascia?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">fascia thoracolombaire<\/a> et rend difficile la palpation de structures sp\u00e9cifiques. <sup id=\"cite_ref-:1_4-1\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<div class=\"tright\"><a class=\"image\" href=\"\/File:Deep_muscles_of_the_gluteal_region_Primal.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/59\/Deep_muscles_of_the_gluteal_region_Primal.png\/400px-Deep_muscles_of_the_gluteal_region_Primal.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/59\/Deep_muscles_of_the_gluteal_region_Primal.png\/600px-Deep_muscles_of_the_gluteal_region_Primal.png 1.5x, https:\/\/www.physio-pedia.com\/images\/5\/59\/Deep_muscles_of_the_gluteal_region_Primal.png 2x\" alt=\"Deep muscles of the gluteal region Primal.png\" width=\"400\" height=\"400\" data-file-width=\"660\" data-file-height=\"660\"><\/a><\/div>\n<p><b>Espace sous-glut\u00e9al<\/b>: situ\u00e9 entre les couches moyennes et profondes du fascia glut\u00e9al. Il contient : <sup id=\"cite_ref-:0_1-1\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<ul>\n<li>nerfs glut\u00e9aux inf\u00e9rieur et sup\u00e9rieur;<\/li>\n<li>vaisseaux sanguins;<\/li>\n<li>ischion;<\/li>\n<li>ligaments <a title=\"Sacrotuberous Ligament\" href=\"\/Sacrotuberous_Ligament\">sacrotub\u00e9ral<\/a>\/<a title=\"Sacrospinous Ligament\" href=\"\/Sacrospinous_Ligament\">sacrospinal;<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Sciatic_Nerve?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Sciatic_Nerve?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">nerf sciatique;<\/a><\/a><\/li>\n<li>piriforme.<\/li>\n<\/ul>\n<p>Le <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Piriformis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">muscle piriforme<\/a> est innerv\u00e9 par les branches des nerfs spinaux L5, S1 et S2.<\/p>\n<p>Le nerf sciatique a une relation complexe avec le muscle piriforme. Il passe au-dessus, en dessous et \u00e0 travers le muscle, avant et apr\u00e8s sa division. <sup id=\"cite_ref-:0_1-2\" class=\"reference\"><a href=\"#cite_note-:0-1\">(1)<\/a><\/sup><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/D6NTMgWCSaU?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup><\/p>\n<h2><span id=\"Differential_Diagnosis\" class=\"mw-headline\">Diagnostic diff\u00e9rentiel <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=3\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Differential Diagnosis\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=3\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Ruling_Out_the_Lumbar_Spine\" class=\"mw-headline\">\u00c9carter le rachis lombaire <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ruling Out the Lumbar Spine\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=4\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ruling Out the Lumbar Spine\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=4\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La douleur glut\u00e9ale peut \u00eatre caus\u00e9e par une douleur projet\u00e9e du rachis lombaire dans le dermatome correspondant. <sup id=\"cite_ref-:2_3-1\" class=\"reference\"><a href=\"#cite_note-:2-3\">(3)<\/a><\/sup> Une \u00e9tude <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> r\u00e9alis\u00e9e par Eubanks a fait \u00e9tat d&rsquo;une am\u00e9lioration significative de la douleur glut\u00e9ale \u00e0 la suite d&rsquo;une infiltration facettaire.<\/p>\n<p>Les <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Red_Flags_in_Spinal_Conditions?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">signaux d&rsquo;alarme<\/a> (\u00ab\u00a0red flags\u00a0\u00bb) sont des pathologies graves qui doivent \u00eatre d\u00e9tect\u00e9es d\u00e8s le premier contact.<\/p>\n<p>Les <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Spondyloarthropathy--AS?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">spondylarthropathies<\/a> et autres affections inflammatoires du rachis lombaire peuvent potentiellement provoquer des douleurs dans la r\u00e9gion glut\u00e9ale. Les patients atteints de <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Ankylosing_Spondylitis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">spondylarthrite ankylosante<\/a> ou du <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Reiter's_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">syndrome conjonctivo-ur\u00e9throsynovial<\/a> peuvent pr\u00e9senter des maladies inflammatoires de l&rsquo;intestin, telles que la <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Diverticulitis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">diverticulite<\/a> ou la maladie de <a title=\"Crohn's Disease\" href=\"\/Crohn%27s_Disease\">Crohn<\/a>, une raideur matinale s\u00e9v\u00e8re et prolong\u00e9e, des enth\u00e9sopathies bilat\u00e9rales telles que la <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Achilles_Tendinopathy?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">tendinopathie achill\u00e9enne<\/a> ou l&rsquo;<a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Plantar_Fasciitis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">apon\u00e9vrosite plantaire<\/a>. <sup id=\"cite_ref-:1_4-2\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Les probl\u00e8mes gyn\u00e9cologiques, les <a class=\"mw-redirect\" title=\"Infectious Disease\" href=\"\/Infectious_Disease\">maladies infectieuses<\/a> potentielles, les <a title=\"Oncology\" href=\"\/Oncology\">tumeurs malignes<\/a> potentielles et une absence d&rsquo;am\u00e9lioration avec les traitements de physioth\u00e9rapie peuvent indiquer la pr\u00e9sence de pathologies graves. <sup id=\"cite_ref-:1_4-3\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Ce tableau est adapt\u00e9 d&rsquo;une \u00e9tude de Zibis <sup id=\"cite_ref-:3_10-0\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> sur les caract\u00e9ristiques et l&rsquo;examen physique de la lombalgie :<\/p>\n<table border=\"1\" width=\"800\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<th scope=\"col\">Anamn\u00e8se<\/th>\n<th scope=\"col\">Examen physique<\/th>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Lombalgie<\/li>\n<li>Douleur projet\u00e9e dans la jambe possible<\/li>\n<li>Caract\u00e8re \u00e9lectrique de la douleur<\/li>\n<li>La position assise, la position debout, un changement de position, la toux et les \u00e9ternuements peuvent exacerber la douleur<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Signe de Las\u00e8gue (ou test d\u2019\u00e9l\u00e9vation de la jambe tendue) <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/li>\n<li>Signe de Las\u00e8gue crois\u00e9<\/li>\n<li>Test de mobilit\u00e9 du nerf f\u00e9moral<\/li>\n<li>Test de Slump<\/li>\n<li>Signe de la corde de l&rsquo;arc (\u00ab Bowstring Test \u00bb)<\/li>\n<li>Test de Trendelenburg (radiculopathie L5)<\/li>\n<li>D\u00e9ficits sensoriels<\/li>\n<li>D\u00e9ficits moteurs et alt\u00e9ration des r\u00e9flexes<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span id=\"Ruling_Out_the_Sacroiliac_Joint\" class=\"mw-headline\">\u00c9carter l&rsquo;articulation sacro-iliaque <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ruling Out the Sacroiliac Joint\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=5\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ruling Out the Sacroiliac Joint\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=5\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Sacroiliac_Joint_Syndrome?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">dysfonctionnement sacro-iliaque<\/a> est d\u00e9fini comme TOUTE douleur provenant des articulations sacro-iliaques ou des structures myofasciales, nerveuses ou neurales, des tissus conjonctifs et des ligaments environnants. On sait que ce dysfonctionnement se manifeste par des douleurs lombaires chez les individus, avec un taux d&rsquo;incidence de 13 \u00e0 48 %, plus fr\u00e9quemment chez les femmes. <sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<p>Les structures suivantes peuvent \u00eatre \u00e0 l&rsquo;origine de douleurs dans la r\u00e9gion post\u00e9rieure de la hanche : <sup id=\"cite_ref-:1_4-4\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li><a title=\"Thoracolumbar Fascia\" href=\"\/Thoracolumbar_Fascia\">fascia thoracolombaire;<\/a><\/li>\n<li><a title=\"Sacroiliac Joint\" href=\"\/Sacroiliac_Joint\">articulation sacro-iliaque;<\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Gluteus_Maximus?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Gluteus_Maximus?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">muscle grand glut\u00e9al;<\/a><\/a><\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Gluteus_Minimus?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">muscle petit glut\u00e9al;<\/a><\/li>\n<li><a title=\"Piriformis\" href=\"\/Piriformis\">muscle piriforme;<\/a><\/li>\n<li>muscles obturateurs <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Obturator_Externus?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">externe <\/a> et <a title=\"Muscle obturateur interne\" href=\"\/Obturator_Internus\">interne<\/a> ;<\/li>\n<li>muscles jumeaux <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Gemellus_Superior?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">sup\u00e9rieur <\/a> et <a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Gemellus_Inferior?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\">inf\u00e9rieur<\/a> ;<\/li>\n<li><a class=\"external text\" href=\"https:\/\/physio-pedia.com\/Ischial_Bursitis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\" rel=\"nofollow\"><a href=\"https:\/\/physio-pedia.com\/Ischial_Bursitis?utm_source=physiopedia&amp;utm_medium=search&amp;utm_campaign=ongoing_internal\">bourse ischiatique;<\/a><\/a><\/li>\n<li>ligaments tels que le long ligament dorsal, le ligament sacrotub\u00e9ral, le ligament sacro-\u00e9pineux.<\/li>\n<\/ul>\n<p>La douleur de l&rsquo;articulation sacro-iliaque peut appara\u00eetre progressivement ou soudainement. Une douleur progressive peut r\u00e9sulter de mauvaises postures, de spondylarthropathies s\u00e9ron\u00e9gatives, d&rsquo;arthrose, de douleurs li\u00e9es \u00e0 la grossesse. Une apparition soudaine peut se produire en raison d&rsquo;un mouvement brusque, d&rsquo;une entorse ou d&rsquo;un traumatisme, par exemple si l&rsquo;on manque une marche ou si l&rsquo;on exerce une torsion en mise en charge unilat\u00e9rale qui peut \u00eatre accompagn\u00e9e d&rsquo;un bruit de clic.<\/p>\n<p>La douleur de l&rsquo;articulation sacro-iliaque se caract\u00e9rise par des difficult\u00e9s en position debout, \u00e0 la marche, \u00e0 la mont\u00e9e des escaliers, \u00e0 l&rsquo;accroupissement et \u00e0 la sortie de la voiture. La douleur de l&rsquo;articulation sacro-iliaque peut \u00e9galement causer des difficult\u00e9s pour se tourner dans le lit, ce qui peut entra\u00eener des troubles du sommeil. Des facteurs psychosociaux peuvent influencer le tableau clinique et les sympt\u00f4mes. La douleur peut \u00eatre r\u00e9f\u00e9r\u00e9e \u00e0 la symphyse pubienne, l&rsquo;aine, le coccyx et la partie post\u00e9rieure de la cuisse. <sup id=\"cite_ref-:1_4-5\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Autres sympt\u00f4mes associ\u00e9s : des dysfonctionnements des organes pelviens, comme l&rsquo;incontinence urinaire, le prolapsus ou la constipation, et des dysfonctionnements sexuels. Les douleurs de l&rsquo;articulation sacro-iliaque peuvent \u00e9galement s&rsquo;accompagner de troubles respiratoires, tels que des patrons respiratoires anormaux. <sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<p>Ce tableau est adapt\u00e9 d&rsquo;une \u00e9tude de Zibis <sup id=\"cite_ref-:3_10-1\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> sur les caract\u00e9ristiques et l&rsquo;examen physique du dysfonctionnement de l&rsquo;articulation sacro-iliaque :<\/p>\n<table border=\"1\" width=\"800\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<th scope=\"col\">Anamn\u00e8se<\/th>\n<th scope=\"col\">Examen physique<\/th>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Douleur aggrav\u00e9e lors de la descente d&rsquo;une pente<\/li>\n<li>Douleur aggrav\u00e9e par le port d&rsquo;une ceinture serr\u00e9e<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Test de distraction sacro-iliaque <sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup><\/li>\n<li>Test de compression sacro-iliaque et man\u0153uvre de Gaenslen<\/li>\n<li>Test de FABER (douleur glut\u00e9al) <sup id=\"cite_ref-:4_15-0\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/li>\n<li>Test \u00ab\u00a0Thigh thrust\u00a0\u00bb <sup id=\"cite_ref-:4_15-1\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>Tests sp\u00e9ciaux<\/b><\/p>\n<p>Les tests individuels sont peu fiables pour diagnostiquer un dysfonctionnement de l&rsquo;articulation sacro-iliaque. <sup id=\"cite_ref-16\" class=\"reference\"><a href=\"#cite_note-16\">(16)<\/a><\/sup> Il est plut\u00f4t conseill\u00e9 d&rsquo;utiliser des tests en grappe, ou un groupe de tests (\u00ab\u00a0cluster tests\u00a0\u00bb). L&rsquo;utilisation de tests sp\u00e9ciaux est un outil clinique utile mais peu fiable. Une \u00e9tude de Dreyfuss et al. a trouv\u00e9 des r\u00e9sultats positifs aux tests de provocation de l&rsquo;articulation sacro-iliaque chez des patients asymptomatiques. <sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/p>\n<p>Le <a title=\"Stork Test\" href=\"\/Stork_Test\">test de Gillet<\/a> est un test permettant d&rsquo;\u00e9valuer la capacit\u00e9 de la ceinture pelvienne \u00e0 transf\u00e9rer la charge lors du soul\u00e8vement de la jambe oppos\u00e9e. Un test positif ne permet cependant pas de savoir o\u00f9 le probl\u00e8me de transfert de la charge se produit (\u00e0 quel niveau). <sup id=\"cite_ref-:1_4-6\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>L&rsquo;<a title=\"Straight Leg Raise Test\" href=\"\/Straight_Leg_Raise_Test\">\u00e9l\u00e9vation de la jambe tendue<\/a> active et les diff\u00e9rents tests composant l&rsquo;\u00e9preuve de Laslett sont valid\u00e9s mais ne sont pas sp\u00e9cifiques et ne peuvent pas \u00eatre utilis\u00e9s pour d\u00e9terminer la cause de la douleur.<\/p>\n<p>Le test de flexion sur une jambe (\u00ab single leg squat \u00bb), le test de glissement du nerf f\u00e9moral et les tests de mouvements accessoires ne sont pas valid\u00e9s mais ils peuvent aider \u00e0 comparer la mobilit\u00e9 bilat\u00e9rale de l&rsquo;articulation.<\/p>\n<p>La compression de la ceinture pelvienne \u00e0 l&rsquo;aide d&rsquo;une ceinture sacro-iliaque peut \u00eatre tr\u00e8s utile pour aider \u00e0 contr\u00f4ler et \u00e0 augmenter la force de fermeture dans la r\u00e9gion lombopelvienne. <sup id=\"cite_ref-:1_4-7\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Ribeiro et al <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup> ont constat\u00e9 que sur 15 tests manuels cliniques pour l&rsquo;\u00e9valuation de la mobilit\u00e9 sacro-iliaque, seul le test de flexion en position assise a obtenu une bonne fid\u00e9lit\u00e9 intrajuge, statistiquement significative.<\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 308px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 300px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/UazkhCUVHJo?\" width=\"300\" height=\"169\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/p>\n<p><b>Imagerie m\u00e9dicale<\/b><\/p>\n<p>L&rsquo;imagerie ne peut pas \u00eatre utilis\u00e9e pour diagnostiquer la dysfonction sacro-iliaque mais elle peut \u00eatre utiliser dans le diagnostic diff\u00e9rentiel des infections, des troubles m\u00e9taboliques, des fractures et des tumeurs. <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/p>\n<p>Une infiltration de l&rsquo;articulation sacro-iliaque peut certes soulager les sympt\u00f4mes lorsqu&rsquo;un anesth\u00e9sique est utilis\u00e9, mais elle ne permet pas non plus de diff\u00e9rencier la structure pathologique. <sup id=\"cite_ref-:1_4-8\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<h3><span id=\"Ruling_Out_Deep_Gluteal_Pathology\" class=\"mw-headline\">Exclure une pathologie glut\u00e9ale profonde <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ruling Out Deep Gluteal Pathology\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=6\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ruling Out Deep Gluteal Pathology\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=6\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La <a title=\"Gluteal Tendinopathy\" href=\"\/Gluteal_Tendinopathy\">tendinopathie glut\u00e9ale<\/a> se caract\u00e9rise par une douleur chronique et intermittente au niveau de la fesse et de la face lat\u00e9rale de la cuisse. <sup id=\"cite_ref-:3_10-2\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup><\/p>\n<p>Les sympt\u00f4mes sont principalement localis\u00e9s dans la r\u00e9gion glut\u00e9ale inf\u00e9rieure, entre la tub\u00e9rosit\u00e9 ischiatique et les structures environnantes, et s&rsquo;\u00e9tendent \u00e0 la face post\u00e9rieure du grand trochanter. <sup id=\"cite_ref-:1_4-9\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>La douleur qui origine du petit trochanter qui pourrait refl\u00e9ter un conflit ischio-f\u00e9moral.<\/p>\n<p>En plus de la tendinopathie des tendons des muscle moyen glut\u00e9al et muscle petit glut\u00e9al, <sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup> la d\u00e9finition du syndrome douloureux du grand trochanter a maintenant \u00e9t\u00e9 \u00e9largie pour inclure les probl\u00e8mes des insertions des muscles obturateurs et des muscles jumeaux. <sup id=\"cite_ref-:1_4-10\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Les patients atteints de tendinopathie glut\u00e9ale pr\u00e9sentent des troubles du sommeil, des difficult\u00e9s \u00e0 pratiquer des activit\u00e9s physiques et une diminution de la qualit\u00e9 de vie. <sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup> La tendinopathie glut\u00e9ale est tr\u00e8s pr\u00e9sente chez les femmes m\u00e9nopaus\u00e9es ou p\u00e9ri-m\u00e9nopaus\u00e9es. Il est donc important d&rsquo;exclure les pathologies gyn\u00e9cologiques. <sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><\/p>\n<p>La douleur provoqu\u00e9e par une tendinopathie glut\u00e9ale peut se r\u00e9f\u00e9rer \u00e0 l&rsquo;aine, au coccyx, \u00e0 la face ant\u00e9rieure de la cuisse, \u00e0 la face lat\u00e9rale de la cuisse, autour de l&rsquo;articulation sacro-iliaque, \u00e0 la fesse et jusqu&rsquo;\u00e0 l&rsquo;insertion du tractus iliotibial sur la partie proximale du tibia, <sup id=\"cite_ref-:3_10-3\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> ce qui rend plus difficile sa diff\u00e9renciation d&rsquo;avec celle qui origine de l&rsquo;articulation sacro-iliaque.<\/p>\n<p>Ce tableau est adapt\u00e9 d&rsquo;une \u00e9tude de Zibis <sup id=\"cite_ref-:3_10-4\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> sur les caract\u00e9ristiques et l&rsquo;examen physique de la tendinopathie glut\u00e9ale :<\/p>\n<table border=\"1\" width=\"800\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<th scope=\"col\">Anamn\u00e8se<\/th>\n<th scope=\"col\">Examen physique<\/th>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Douleur \u00e0 la r\u00e9gion proximale de la cuisse qui peut \u00eatre projet\u00e9e vers le genou<\/li>\n<li>Incapacit\u00e9 \u00e0 dormir sur le c\u00f4t\u00e9 affect\u00e9<\/li>\n<li>Douleur \u00e0 la cuisse en se levant d&rsquo;une position assise<\/li>\n<li>Douleur \u00e0 la cuisse en montant les escaliers<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Douleurs lors de la flexion de la hanche ainsi que lors de l&rsquo;abduction r\u00e9sist\u00e9e de la hanche<\/li>\n<li>Signe du sursaut (la palpation du grand trochanter entra\u00eene le patient \u00e0 presque sauter du lit<a title=\"Greater Trochanteric Pain Syndrome\" href=\"\/Greater_Trochanteric_Pain_Syndrome\">) <\/a><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span id=\"Ruling_Out_Piriformis_Syndrome\" class=\"mw-headline\">Exclure le syndrome du piriforme <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Ruling Out Piriformis Syndrome\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=7\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Ruling Out Piriformis Syndrome\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=7\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le diagnostic du <a title=\"Piriformis Syndrome\" href=\"\/Piriformis_Syndrome\">syndrome du piriforme<\/a> repose uniquement sur les sympt\u00f4mes cliniques et est souvent sous-diagnostiqu\u00e9. <sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup> La compression du <a title=\"Sciatic Nerve\" href=\"\/Sciatic_Nerve\">nerf sciatique<\/a> se produit principalement dans l&rsquo;espace gluta\u00e9l profond et autour du <a title=\"Piriformis\" href=\"\/Piriformis\">muscle piriforme<\/a> plut\u00f4t qu&rsquo;au rachis lombaire. <sup id=\"cite_ref-:1_4-11\" class=\"reference\"><a href=\"#cite_note-:1-4\">(4)<\/a><\/sup><\/p>\n<p>Ce tableau est adapt\u00e9 d&rsquo;une \u00e9tude de Zibis <sup id=\"cite_ref-:3_10-5\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> sur les caract\u00e9ristiques et l&rsquo;examen physique du syndrome du piriforme :<\/p>\n<table border=\"1\" width=\"800\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<th scope=\"col\">Anamn\u00e8se<\/th>\n<th scope=\"col\">Examen physique<\/th>\n<\/tr>\n<tr>\n<td>\n<ul>\n<li>Douleur diffuse dans la fesse ou \u00e0 la face post\u00e9rieure de la cuisse<\/li>\n<li>Douleur parfois projet\u00e9e, de type sciatique<\/li>\n<li>Douleur en position assise<\/li>\n<\/ul>\n<\/td>\n<td>\n<ul>\n<li>Test de contraction active du piriforme <sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/li>\n<li>Test d&rsquo;\u00e9tirement du piriforme en position assise<\/li>\n<li>Test de FAIR<\/li>\n<li>Manoeuvre de Beatty<\/li>\n<li>Signe du piriforme<\/li>\n<li>Test de Freiberg<\/li>\n<li>Manoeuvre de Pace<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources (en anglais original)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=8\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=8\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3812833\/\" rel=\"nofollow\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3812833\/\">A Case Report: Differential Diagnosis of Deep Gluteal Pain in a Female Runner with Pelvic Involvement. (\u00e9tude de cas sur le diagnostic diff\u00e9rentiel de la douleur glut\u00e9ale profonde chez une coureuse avec implication du bassin, en anglais original)<\/a><\/a><\/p>\n<p><a class=\"external text\" href=\"https:\/\/www.clinicaledge.co\/podcast\/physio-edge-podcast\/physio-edge-009-lateral-hip-pain-with-dr-alison-grimaldi\" rel=\"nofollow\"><a href=\"https:\/\/www.clinicaledge.co\/podcast\/physio-edge-podcast\/physio-edge-009-lateral-hip-pain-with-dr-alison-grimaldi\">Balado : Lateral Hip Pain with Dr Alison Grimaldi (douleur \u00e0 la r\u00e9gion lat\u00e9rale de la hanche avec Dre Alison Grimaldi, en anglais original)<\/a><\/a><\/p>\n<p><a class=\"external text\" href=\"https:\/\/www.clinicaledge.co\/blog\/infographic-deep-gluteal-syndrome-with-benoy-mathew\" rel=\"nofollow\"><a href=\"https:\/\/www.clinicaledge.co\/blog\/infographic-deep-gluteal-syndrome-with-benoy-mathew\">Infographic &#8211; Deep gluteal syndrome with Benoy Mathew (une infographie sur le syndrome glut\u00e9al profond avec Benoy Mathew, en anglais original)<\/a><\/a><\/p>\n<p><a class=\"external text\" href=\"https:\/\/www.clinicaledge.co\/podcast\/physio-edge-podcast\/physio-edge-063-how-to-assess-and-treat-posterior-hip-and-gluteal-pain-with-benoy-mathew\" rel=\"nofollow\"><a href=\"https:\/\/www.clinicaledge.co\/podcast\/physio-edge-podcast\/physio-edge-063-how-to-assess-and-treat-posterior-hip-and-gluteal-pain-with-benoy-mathew\">Balado : How to Assess and treat Posterior Hip and Gluteal Pain with Benoy Mathew (comment \u00e9valuer et traiter les douleurs \u00e0 la r\u00e9gion post\u00e9rieure de la hanche et au fessier avec Benoy Mathew, en anglais original)<\/a><\/a><\/p>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;veaction=edit&amp;section=9\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Differentiating_Buttock_Pain_and_Sacroiliac_Joint_Disorders&amp;action=edit&amp;section=9\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-:0-1\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_1-0\">1.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-1\">1.1<\/a><\/sup> <sup><a href=\"#cite_ref-:0_1-2\">1.2<\/a><\/sup><\/span> <span class=\"reference-text\">Carro LP, Hernando MF, Cerezal L, Navarro IS, Fernandez AA, Castillo AO. Deep gluteal space problems: piriformis syndrome, ischiofemoral impingement and sciatic nerve release. Muscles, ligaments and tendons journal. 2016 Jul;6(3):384.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Tonosu J, Oka H, Higashikawa A, Okazaki H, Tanaka S, Matsudaira K. The associations between magnetic resonance imaging findings and low back pain: A 10-year longitudinal analysis. PLoS One. 2017 Nov 15;12(11):e0188057.<\/span><\/li>\n<li id=\"cite_note-:2-3\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_3-0\">3.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_3-1\">3.1<\/a><\/sup><\/span> <span class=\"reference-text\">Shim DM, Kim TG, Koo JS, Kwon YH, Kim CS. Is it radiculopathy or referred pain? Buttock pain in spinal stenosis patients. Clinics in orthopedic surgery. 2019 Mar 1;11(1):89-94.<\/span><\/li>\n<li id=\"cite_note-:1-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_4-0\">4.00<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-1\">4.01<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-2\">4.02<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-3\">4.03<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-4\">4.04<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-5\">4.05<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-6\">4.06<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-7\">4.07<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-8\">4.08<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-9\">4.09<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-10\">4.10<\/a><\/sup> <sup><a href=\"#cite_ref-:1_4-11\">4.11<\/a><\/sup><\/span> <span class=\"reference-text\">Bell-Jenje T. Differentiating Buttock Pain and Sacroiliac Joint Disorders. Plus Course 2020<\/span><\/li>\n<li id=\"cite_note-:42-5\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:42_5-0\">5.0<\/a><\/sup> <sup><a href=\"#cite_ref-:42_5-1\">5.1<\/a><\/sup><\/span> <span class=\"reference-text\">Dutton M. Orthopaedic Examination, Evaluation, and Intervention. 2nd ed. New York: McGraw Hill, 2008.<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Cohen S., Steven P., Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis and treatment, IARS, November 2005, volume 101, issue 5, pp 1440-1453<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Sacroiliac Joint. 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Spine. 2007 Sep 1;32(19):2058-62.<\/span><\/li>\n<li id=\"cite_note-:3-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-1\">10.1<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-2\">10.2<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-3\">10.3<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-4\">10.4<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-5\">10.5<\/a><\/sup><\/span> <span class=\"reference-text\">Zibis AH, Mitrousias VD, Klontzas ME, Karachalios T, Varitimidis SE, Karantanas AH, Arvanitis DL. Great trochanter bursitis vs sciatica, a diagnostic\u2013anatomic trap: differential diagnosis and brief review of the literature. European Spine Journal. 2018 Jul 1;27(7):1509-16.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Suri P, Rainville J, Katz JN, Jouve C, Hartigan C, Limke J, Pena E, Li L, Swaim B, Hunter DJ (2011) The accuracy of the physical examination for the diagnosis of midlumbar and low lumbar nerve root impingement. Spine 36:63\u201373.<\/span><\/li>\n<li id=\"cite_note-12\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-12\">\u2191<\/a><\/span> <span class=\"reference-text\">Madania SP, Mohammad Dadian M, Firouzniac K, Alalawid S. Sacroiliac joint dysfunction in patients with herniated lumbar disc: A cross-sectional study. J Back Musculoskelet Rehabil 2013; 26 :273-279.<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">O\u2019Sullivan PB, Beales DJ. Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: a case series. Manual therapy. 2007 Aug 1;12(3):209-18.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Simpson R, Gemmell H (2006) Accuracy of spinal orthopaedic tests: a systematic review. Chiropr Osteopat 14:26<\/span><\/li>\n<li id=\"cite_note-:4-15\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:4_15-0\">15.0<\/a><\/sup> <sup><a href=\"#cite_ref-:4_15-1\">15.1<\/a><\/sup><\/span> <span class=\"reference-text\">Nejati P, Sartaj E, Imani F, Moeineddin R, Nejati L, Safavi M. Accuracy of the diagnostic tests of sacroiliac joint dysfunction. Journal of Chiropractic Medicine. 2020 Mar 1;19(1):28-37.<\/span><\/li>\n<li id=\"cite_note-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-16\">\u2191<\/a><\/span> <span class=\"reference-text\">. Laslett M, Williams M. The reliability of selected pain provocation tests for sacroiliac joint pathology. Spine 1994; 19:1243-1249.<\/span><\/li>\n<li id=\"cite_note-17\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-17\">\u2191<\/a><\/span> <span class=\"reference-text\">Dreyfusss P, Dreyer S, Griffin J, Hoffman J, Walsh N. Positive sacroiliac screening tests in the asymptomatic adults. Spine 1994; 19:1138-1114.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Ribeiro RP, Guerrero FG, Camargo EN, Beraldo LM, Candotti CT. Validity and reliability of palpatory clinical tests of sacroiliac joint mobility: a systematic review and meta-analysis. Journal of Manipulative and Physiological Therapeutics. 2021 May 1;44(4):307-18.<\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">John Gibbons. How to assess motion of the Sacroiliac Joint &#8211; Seated forward flexion test. 2014. Available from: <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=UazkhCUVHJo\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=UazkhCUVHJo<\/a> (last accessed 30\/10\/2022)<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Hilal Telli MD, Serkan Telli MD, Murat Topal MD. The validity and reliability of provocation tests in the diagnosis of sacroiliac joint dysfunction. 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