Ligament Anatomy

The ligament complex around the SI joint contributes heavily to both stability and pain generation.
Anatomy
The sacroiliac joints sit where the sacrum meets the iliac bones. They transfer force from the upper body into the pelvis and legs while helping maintain stability.

The ligament complex around the SI joint contributes heavily to both stability and pain generation.

Symptoms often appear in the buttock, pelvis, groin, posterior thigh, and sometimes lower leg.
Structure
The sacrum forms the triangular base of the spine and acts as the central bridge between the lumbar spine and the pelvis.
Structure
The iliac portions of the pelvis create the broad, weight-bearing surfaces that meet the sacrum at the SI joints.
Clinical Relevance
Much of SI joint stability comes from surrounding ligaments, which is why pain can arise from both the joint surfaces and the supporting tissues.