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Ischiofemoral impingement

Naoki Nakano, Grace Yip, Vikas Khanduja
PURPOSE: Extra-articular hip impingement syndromes encompass a group of conditions that have previously been an unrecognised source of pain in the hip and on occasion been associated with intra-articular hip impingement as well. As arthroscopic techniques for the hip continue to evolve, the importance of these conditions has been recognised recently and now form an important part of the differential of an individual presenting with hip pain. The aim of this article, therefore, is to provide the reader with an evidence-based and comprehensive update of these syndromes...
April 11, 2017: International Orthopaedics
Luis Perez Carro, Moises Fernandez Hernando, Luis Cerezal, Ivan Saenz Navarro, Ana Alfonso Fernandez, Alexander Ortiz Castillo
BACKGROUND: Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. Multiple pathologies have been incorporated in this all-included "piriformis syndrome", a term that has nothing to do with the presence of fibrous bands, obturator internus/gemellus syndrome, quadratus femoris/ischiofemoral pathology, hamstring conditions, gluteal disorders and orthopedic causes...
July 2016: Muscles, Ligaments and Tendons Journal
Robert M Kwee, Shivani Ahlawat, Jan Fritz
OBJECTIVE: To determine the frequency of magnetic resonance imaging (MRI) findings of ischiofemoral impingement (IFI) in patients with inflammatory myositis (IM) and associated factors. METHODS: Pelvis and thigh MRI studies of 314 consecutive patients (57% women; mean age, 55.5 years; range, 18-85) with suspected muscle disease were reviewed. RESULTS: Ischiofemoral impingement at MRI was present in 11% of patients with a final diagnosis of IM and in 2% of patients with an alternative diagnosis (P = 0...
March 2017: Journal of Computer Assisted Tomography
Adam C Johnson, John H Hollman, Benjamin M Howe, Jonathan T Finnoff
OBJECTIVE: The primary aim of this study was to determine if ischiofemoral space (IFS) dimensions vary with changes in hip flexion as a result of placing a bolster behind the knees during magnetic resonance imaging (MRI). A secondary aim was to determine if IFS dimensions vary between supine and prone hip neutral positions. DESIGN: The study employed a prospective design. SETTING: Sports medicine center within a tertiary care institution. PARTICIPANTS: Five male and five female adult subjects (age mean = 29...
January 2017: Skeletal Radiology
Megan K Mills, Colin D Strickland, Mary K Jesse, Peter A Lowry, Omer Mei-Dan, Jonathan A Flug
Osteoarthritis of the hip remains a prevalent disease condition that influences ever-changing treatment options. Procedures performed to correct anatomic variations, and, in turn, prevent or slow the progression of osteoarthritis, are aptly referred to as types of hip preservation surgery (HPS). Conditions that predispose individuals to femoroacetabular impingement (FAI), including pincer- and cam-type morphology, and hip dysplasia are specifically targeted in HPS. Common surgical interventions include acetabuloplasty, osteochondroplasty, periacetabular osteotomy (PAO), and derotational femoral osteotomy (DFO)...
October 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Keyonna Jenkins, Yin-Ting Chen
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Juan Gómez-Hoyos, Anthony Khoury, Ricardo Schröder, Eric Johnson, Ian J Palmer, Hal D Martin
PURPOSE: To assess the relation between ischiofemoral impingement (IFI) and lumbar facet joint load during hip extension in cadavers. METHODS: Twelve hips in 6 fresh T1-to-toes cadaveric specimens were tested. A complete pretesting imaging evaluation was performed using computed tomography scan. Cadavers were positioned in lateral decubitus and fixed to a dissection table. Both legs were placed on a frame in a simulated walking position. Through a posterior lumbar spine approach L3-4 and L4-5 facet joints were dissected bilaterally...
January 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
Mark D Wilson, James S Keene
Ischiofemoral impingement (IFI) is an often unrecognized cause of hip pain caused by abnormal contact between the lesser trochanter and the ischium. To date, surgical treatment for those whose pain is not relieved by activity modification and steroid injections has not been defined. This study describes our imaging protocol and reports the results of arthroscopic, lesser trochanteric resections that were performed to treat this condition. Seven patients with symptomatic, MRI-documented IFI had ultrasound injections of ropivicaine and steroid into their ischiofemoral space...
July 2016: Journal of Hip Preservation Surgery
Üstün Aydıngöz, Zeynep Maraş Özdemir, Altan Güneş, Fatma Bilge Ergen
Although generally more common in adults, lower extremity impingement and friction syndromes are also observed in the pediatric age group. Encompassing femoroacetabular impingement, iliopsoas impingement, subspine impingement, and ischiofemoral impingement around the hip; patellar tendon-lateral femoral condyle friction syndrome; iliotibial band friction syndrome; and medial synovial plica syndrome in the knee as well as talocalcaneal impingement on the hindfoot, these syndromes frequently cause pain and may mimic other, and occasionally more ominous, conditions in children...
November 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
Do-Hyeong Kim, Duck Mi Yoon, Kyung Bong Yoon
BACKGROUND: The quadratus femoris (QF) muscle is a possible source of lower buttock pain as evidenced by what is known about the pathophysiology of ischiofemoral impingement syndrome. However, there are few reports about the interventional management of the QF muscle as a pain generator. OBJECTIVE: To describe an ultrasound-guided QF muscle injection technique in patients with lower buttock pain suspected of QF muscle pathology and to report the result of treatment...
July 2016: Pain Physician
Jonathan T Finnoff, Adam C Johnson, John H Hollman
BACKGROUND: Ischiofemoral impingement is a potential cause of hip and buttock pain. It is evaluated commonly with magnetic resonance imaging (MRI). To our knowledge, no study previously has evaluated the ability of ultrasound to measure the ischiofemoral space (IFS) dimensions reliably. OBJECTIVE: To determine whether ultrasound could accurately measure the IFS dimensions when compared with the gold standard imaging modality of MRI. DESIGN: A methods comparison study...
April 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
M Hotait, A Makki, R Sawaya
No abstract text is available yet for this article.
October 2016: Neurosurgical Review
G Klaud Miller
In a single-surgeon study of more than 1,000 hip operations, 30 patients were identified with possible ischiofemoral impingement (IFI). Only 17 of these 30 (56.6%) patients ultimately were diagnosed as having IFI on the basis of magnetic resonance imaging, injections, arthroscopy, and the 2 clinical tests described. The IFI test and the long-stride walking test were both highly accurate for the purported diagnosis; however, the most accurate test that was not specifically prospectively studied was quadriceps muscle edema on magnetic resonance imaging, which was present only in otherwise confirmed cases of IFI and not seen with any other diagnosis...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Hal David Martin, Anthony Khoury, Ricardo Schröder, Ian James Palmer
Recent advances in understanding hip joint anatomy and biomechanics have contributed to improvement of diagnosis and treatment decisions for distal causes of deep gluteal syndrome (DGS). Ischiofemoral impingement and hamstrings syndrome are sources of posterior hip pain that can simulate symptoms of DGS. The combination of a comprehensive history and physical examination with imaging and ancillary testing are critical for diagnosis. Six key physical examination tests are described to differentiate distal versus proximal sources of extrapelvic posterior hip pain...
July 2016: Clinics in Sports Medicine
Óliver Marin-Peña, Pablo Sierra-Madrid, Raquel Lax-Pérez, Francisco Ferrero-Manzanal
Extrarticular causes of impingement have a current, interesting role in the complaint of groin pain in athletes. Subspine impingement is related to a prominent anterior inferior iliac spine (AIIS) and is actually described as a frequent cause of groin pain. Ischiofemoral impingement is described when the space between the lesser trochanter is decreased. Psoas impingement appears between the psoas tendon and the anterior labrum and anterior acetabular rim.
May 14, 2016: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Maria D P Duque Orozco, Oussama Abousamra, Kenneth J Rogers, Mihir M Thacker
BACKGROUND: Magnetic resonance imaging (MRI) is useful in evaluating nontraumatic hip pain. It provides information about associated injuries like labral/chondral tears or ischiofemoral impingement (IFI). However, in hereditary multiple exostoses (HME) there has been no report about MRI findings in symptomatic children with hip involvement. METHODS: Records of children with HME and hip osteochondromas, who had hip MRI/magnetic resonance arthrography, were reviewed...
April 30, 2016: Journal of Pediatric Orthopedics
Sunghoon Park, Hyun Young Lee, Pham Manh Cuong, Ye-Yeon Won, Hyung-Min Ji, Seung-Hyun Yoon, Kyu-Sung Kwack
OBJECTIVE: The purpose of this study was to assess parameters of ischiofemoral impingement on supine and standing anteroposterior hip radiographs and to suggest optimal cutoff points for detection of ischiofemoral impingement. MATERIALS AND METHODS: A retrospective study included patients with a clinical history of hip pain. All hip joints with evidence of quadratus femoris muscle edema on MR images were included in the ischiofemoral impingement patient group. An age- and sex-matched control group was derived from the same cohort by propensity score matching...
June 2016: AJR. American Journal of Roentgenology
Scott W Cheatham
There is growing subgroup of patients with poor outcomes after hip arthroscopy for intra-articular pathology suggesting unrecognized cause(s) of impingement may exist. Extra-articular hip impingement (EHI) is an emerging group of conditions that have been associated with intra-articular causes of impingement and may be an unrecognized source of pain. EHI is caused by abnormal contact between the extra-articular regions of the proximal femur and pelvis. This review discusses the most common forms for EHI including: central iliopsoas impingement, subspine impingement, ischiofemoral impingement, and greater trochanteric-pelvic impingement...
March 2016: Journal of the Canadian Chiropractic Association
Carlos Massao Aramaki Yanagishita, Guilherme Guadagnini Falótico, Davi Araújo Veiga Rosário, Gustavo Gambuggi Pugina, André Azambuja Neves Wever, Edmilson Takehiro Takata
An association between hip pain and quadratus femoris muscle abnormality on magnetic resonance imaging (MRI) with concurrent narrowing of the ischiofemoral space has been reported in the recent literature. This raises the possibility that the muscle damage observed is due to ischiofemoral impingement. This diagnosis has been noted in middle-aged females either with or without a history of trauma or surgery, is a rarely described feature. We report here on a 31-year-old woman who presented with non-traumatic hip pain and evidence of narrowing of the ischiofemoral space and edema in the quadratus femoris...
2012: Revista Brasileira de Ortopedia
Juan Gómez-Hoyos, RobRoy L Martin, Ricardo Schröder, Ian James Palmer, Hal David Martin
PURPOSE: To establish the accuracy of the long-stride walking (LSW) and ischiofemoral impingement (IFI) tests for diagnosing IFI in patients whose primary symptom is posterior hip pain. METHODS: Confirmed IFI cases and cases in which IFI had been ruled out were identified considering imaging, injections, and endoscopic assessment, combined with pain relief and negative IFI-specific tests after treatment. Demographic data, duration of symptoms, pain location, ischiofemoral space, quadratus femoris space, quadratus femoris edema, surgical findings, and visual analog scale score for pain before and after treatment were computed for all patients included in this study...
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
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