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How to address ischiofemoral impingement? Treatment algorithm and review of the literature

Ischiofemoral impingement (IFI) is a rare cause of hip pain defined by a narrowing of the space between the lateral aspect of the os ischium and the lesser trochanter of the femur. Several underlying anatomic, functional and iatrogenic pathologies have been identified for symptomatic IFI in native h...

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Autores principales: Gollwitzer, Hans, Banke, Ingo J, Schauwecker, Johannes, Gerdesmeyer, Ludger, Suren, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721376/
https://www.ncbi.nlm.nih.gov/pubmed/29250337
http://dx.doi.org/10.1093/jhps/hnx035
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author Gollwitzer, Hans
Banke, Ingo J
Schauwecker, Johannes
Gerdesmeyer, Ludger
Suren, Christian
author_facet Gollwitzer, Hans
Banke, Ingo J
Schauwecker, Johannes
Gerdesmeyer, Ludger
Suren, Christian
author_sort Gollwitzer, Hans
collection PubMed
description Ischiofemoral impingement (IFI) is a rare cause of hip pain defined by a narrowing of the space between the lateral aspect of the os ischium and the lesser trochanter of the femur. Several underlying anatomic, functional and iatrogenic pathologies have been identified for symptomatic IFI in native hip joints and after total hip arthroplasty. Clinical symptoms vary but most commonly consist of pain of the lower buttock and groin including the inner thigh, and a snapping or clunking phenomenon is often reported. Symptoms may be provoked by a combined extension, adduction and external rotation during physical examination and during long-stride walking. Radiographs of the pelvis and an axial or false-profile-view of the hip as well as magnetic resonance imaging (MRI)-scans should be obtained to strengthen the diagnosis. On MRI, the quadratus femoris muscle signal and the space confined by the anatomic structures surrounding the muscle, the quadratus femoris space, are to be assessed. Targeted infiltration of the muscle can be helpful both diagnostically and therapeutically. The literature on differential diagnoses and treatment options for IFI is limited; therapeutic suggestions are offered only in case reports and series. With this work, we aim to give a systematic approach to the non-surgical and surgical treatment options for IFI based upon the current literature and the authors’ personal experience.
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spelling pubmed-57213762017-12-15 How to address ischiofemoral impingement? Treatment algorithm and review of the literature Gollwitzer, Hans Banke, Ingo J Schauwecker, Johannes Gerdesmeyer, Ludger Suren, Christian J Hip Preserv Surg Review Articles Ischiofemoral impingement (IFI) is a rare cause of hip pain defined by a narrowing of the space between the lateral aspect of the os ischium and the lesser trochanter of the femur. Several underlying anatomic, functional and iatrogenic pathologies have been identified for symptomatic IFI in native hip joints and after total hip arthroplasty. Clinical symptoms vary but most commonly consist of pain of the lower buttock and groin including the inner thigh, and a snapping or clunking phenomenon is often reported. Symptoms may be provoked by a combined extension, adduction and external rotation during physical examination and during long-stride walking. Radiographs of the pelvis and an axial or false-profile-view of the hip as well as magnetic resonance imaging (MRI)-scans should be obtained to strengthen the diagnosis. On MRI, the quadratus femoris muscle signal and the space confined by the anatomic structures surrounding the muscle, the quadratus femoris space, are to be assessed. Targeted infiltration of the muscle can be helpful both diagnostically and therapeutically. The literature on differential diagnoses and treatment options for IFI is limited; therapeutic suggestions are offered only in case reports and series. With this work, we aim to give a systematic approach to the non-surgical and surgical treatment options for IFI based upon the current literature and the authors’ personal experience. Oxford University Press 2017-08-31 /pmc/articles/PMC5721376/ /pubmed/29250337 http://dx.doi.org/10.1093/jhps/hnx035 Text en © The Author 2017. Published by Oxford University Press http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Review Articles
Gollwitzer, Hans
Banke, Ingo J
Schauwecker, Johannes
Gerdesmeyer, Ludger
Suren, Christian
How to address ischiofemoral impingement? Treatment algorithm and review of the literature
title How to address ischiofemoral impingement? Treatment algorithm and review of the literature
title_full How to address ischiofemoral impingement? Treatment algorithm and review of the literature
title_fullStr How to address ischiofemoral impingement? Treatment algorithm and review of the literature
title_full_unstemmed How to address ischiofemoral impingement? Treatment algorithm and review of the literature
title_short How to address ischiofemoral impingement? Treatment algorithm and review of the literature
title_sort how to address ischiofemoral impingement? treatment algorithm and review of the literature
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721376/
https://www.ncbi.nlm.nih.gov/pubmed/29250337
http://dx.doi.org/10.1093/jhps/hnx035
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