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Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography

Ischiofemoral impingement syndrome is a neglected cause of posterior hip pain which is derived from narrowing of the space between the lateral aspect of the ischium and the medial aspect of the lesser trochanter. Its diagnosis is challenging and requires the combination of physical tests and imaging...

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Autores principales: Wu, Wei-Ting, Chang, Ke-Vin, Mezian, Kamal, Naňka, Ondřej, Ricci, Vincenzo, Chang, Hsiang-Chi, Wang, Bow, Hung, Chen-Yu, Özçakar, Levent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9818255/
https://www.ncbi.nlm.nih.gov/pubmed/36611431
http://dx.doi.org/10.3390/diagnostics13010139
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author Wu, Wei-Ting
Chang, Ke-Vin
Mezian, Kamal
Naňka, Ondřej
Ricci, Vincenzo
Chang, Hsiang-Chi
Wang, Bow
Hung, Chen-Yu
Özçakar, Levent
author_facet Wu, Wei-Ting
Chang, Ke-Vin
Mezian, Kamal
Naňka, Ondřej
Ricci, Vincenzo
Chang, Hsiang-Chi
Wang, Bow
Hung, Chen-Yu
Özçakar, Levent
author_sort Wu, Wei-Ting
collection PubMed
description Ischiofemoral impingement syndrome is a neglected cause of posterior hip pain which is derived from narrowing of the space between the lateral aspect of the ischium and the medial aspect of the lesser trochanter. Its diagnosis is challenging and requires the combination of physical tests and imaging studies. In the present narrative review, we found that femoral anteversion predisposes patients to the narrowing of the ischiofemoral space and subsequent quadratus femoris muscle injury. Magnetic resonance imaging serves as the gold-standard diagnostic tool, which facilities the quantification of the ischiofemoral distance and the recognition of edema/fat infiltration/tearing of the quadratus femoris muscle. Ultrasound is useful for scrutinizing the integrity of deep gluteal muscles, and its capability to measure the ischiofemoral space is comparable to that of magnetic resonance. Various injection regimens can be applied to treat ischiofemoral impingement syndrome under ultrasound guidance and they appear to be safe and effective. Finally, more randomized controlled trials are needed to build solid bases of evidence on ultrasound-guided interventions in the management of ischiofemoral impingement syndrome.
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spelling pubmed-98182552023-01-07 Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography Wu, Wei-Ting Chang, Ke-Vin Mezian, Kamal Naňka, Ondřej Ricci, Vincenzo Chang, Hsiang-Chi Wang, Bow Hung, Chen-Yu Özçakar, Levent Diagnostics (Basel) Review Ischiofemoral impingement syndrome is a neglected cause of posterior hip pain which is derived from narrowing of the space between the lateral aspect of the ischium and the medial aspect of the lesser trochanter. Its diagnosis is challenging and requires the combination of physical tests and imaging studies. In the present narrative review, we found that femoral anteversion predisposes patients to the narrowing of the ischiofemoral space and subsequent quadratus femoris muscle injury. Magnetic resonance imaging serves as the gold-standard diagnostic tool, which facilities the quantification of the ischiofemoral distance and the recognition of edema/fat infiltration/tearing of the quadratus femoris muscle. Ultrasound is useful for scrutinizing the integrity of deep gluteal muscles, and its capability to measure the ischiofemoral space is comparable to that of magnetic resonance. Various injection regimens can be applied to treat ischiofemoral impingement syndrome under ultrasound guidance and they appear to be safe and effective. Finally, more randomized controlled trials are needed to build solid bases of evidence on ultrasound-guided interventions in the management of ischiofemoral impingement syndrome. MDPI 2022-12-31 /pmc/articles/PMC9818255/ /pubmed/36611431 http://dx.doi.org/10.3390/diagnostics13010139 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Wu, Wei-Ting
Chang, Ke-Vin
Mezian, Kamal
Naňka, Ondřej
Ricci, Vincenzo
Chang, Hsiang-Chi
Wang, Bow
Hung, Chen-Yu
Özçakar, Levent
Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
title Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
title_full Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
title_fullStr Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
title_full_unstemmed Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
title_short Ischiofemoral Impingement Syndrome: Clinical and Imaging/Guidance Issues with Special Focus on Ultrasonography
title_sort ischiofemoral impingement syndrome: clinical and imaging/guidance issues with special focus on ultrasonography
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9818255/
https://www.ncbi.nlm.nih.gov/pubmed/36611431
http://dx.doi.org/10.3390/diagnostics13010139
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