3-D finite element analysis of the influence of synovial condition in sacroiliac joint on the load transmission in human pelvic system.

The anterior part of the sacroiliac joint (SIJ) is a synovial joint, with little gliding and rotary movement between the contact surfaces of SIJ during locomotion. Due to its complex structure, especially when considering the surrounding ligaments, it is difficult to construct an accurate three-dimensional (3-D) finite element model for the human pelvis. Most of the pelvic models in the previous studies were simplified with either SIJ fusing together or without the sacral bone. However, the influence of those simplifications on the load transmission in human pelvis has not been studied, so the reliability of those studies remains unclear. In this study, two 3-D pelvic models were constructed: an SIJ fusing model and an SIJ contacting model. In the SIJ fusing model, the SIJ interfaces were fused together. In the SIJ contacting model, the SIJ interfaces were just in contact with each other without fusion. Compared with the SIJ contacting model, the SIJ fusing model have smaller movements in the SIJ. The stress distribution area in the SIJ fusing model on sacroiliac cartilages was also different. Those differences contributed to the decline of tensile force in the SIJ surrounding ligaments and the re-distribution of stress in the pelvic bones. In addition, the SIJ fusing model was far less sensitive to the increase in modulus of the sacroiliac cartilages, and decrease in stiffness of the ligaments surrounding the SIJ. The presence of synovia in the SIJ had greater influence on the load transmission in the human pelvic system. Therefore, the effect of the presence of synovia should not be neglected when the biomechanical behavior of human pelvis is being studied, especially for those studies related to clinical applications.