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

Authors :
Wei-Ting Wu
Ke-Vin Chang
Kamal Mezian
Ondřej Naňka
Vincenzo Ricci
Hsiang-Chi Chang
Bow Wang
Chen-Yu Hung
Levent Özçakar
Source :
Diagnostics, Vol 13, Iss 1, p 139 (2022)
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

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.

Details

Language :
English
ISSN :
20754418
Volume :
13
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Diagnostics
Publication Type :
Academic Journal
Accession number :
edsdoj.3c3b6c1e5ec44720b89fa6d6805f5330
Document Type :
article
Full Text :
https://doi.org/10.3390/diagnostics13010139