Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement.
Summary of "Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement."
An association between hip pain and quadratus femoris MRI abnormality with concurrent narrowing of the ischiofemoral space has been reported in a number of patients to date, raising the possibility that the muscular damage observed is due to ischiofemoral impingement [1]. Possible impingement has been noted primarily in middle-aged females either with or without a history of trauma or surgery, and associated snapping of the hip is a rarely described feature [1-3]. We report here on a 17-year-old girl who presented with post-traumatic hip pain; she later developed evidence of ischiofemoral narrowing and quadratus femoris edema on MRI in addition to an audible snapping. Surgical resection of the lesser trochanter was performed, relieving both her hip pain and the snapping. To our knowledge, this is the first reported case of non-iatrogenic ischiofemoral impingement with surgical confirmation. The diagnosis of ischiofemoral impingement should be considered in patients complaining of a snapping hip.
Affiliation
Nuffield Orthopaedic Centre Department of Radiology, University of Oxford, Oxford, UK.
Journal Details
This article was published in the following journal.
Name: Skeletal radiology
ISSN: 1432-2161
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21207021
- DOI: http://dx.doi.org/10.1007/s00256-010-1085-z
Medical and Biotech [MESH] Definitions
Molecular Imaging
The use of molecularly targeted imaging probes to localize and/or monitor biochemical and cellular processes via various imaging modalities that include RADIONUCLIDE IMAGING; ULTRASONOGRAPHY; MAGNETIC RESONANCE IMAGING; fluorescence imaging; and MICROSCOPY.
Fatal Outcome
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
Ophthalmology
A surgical specialty concerned with the structure and function of the eye and the medical and surgical treatment of its defects and diseases.
Respiratory-gated Imaging Techniques
Timing the acquisition of imaging data to specific points in the breathing cycle to minimize image blurring and other motion artifacts. The images are used diagnostically and also interventionally to coordinate radiation treatment beam on/off cycles to protect healthy tissues when they move into the beam field during different times in the breathing cycle.
Technetium Tc 99m Pentetate
A technetium imaging agent used in renal scintigraphy, computed tomography, lung ventilation imaging, gastrointestinal scintigraphy, and many other procedures which employ radionuclide imaging agents.
PubMed Articles
Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability.
OBJECTIVE: The aim of this study was to describe the magnetic resonance imaging (MRI) findings in patients with ischiofemoral impingement (IFI) and to evaluate the reliability of these MRI findings. M...
Snapping biceps femoris syndrome is an uncommon cause of lateral knee pain and may be difficult to diagnose, resulting in unsuccessful surgical intervention. In this report, we present an unusual case...
BACKGROUND: Injuries to the quadratus femoris (QF) muscle have only recently appeared in the medical literature with the increasing use of advanced imaging in assessing musculoskeletal complaints in t...
Painful Snapping Elbow in Patients With Congenital Radioulnar Synostosis: Report of Two Cases.
Two patients with congenital radioulnar synostosis presented with painful snapping on elbow motion in one case and locking of the elbow joint in the other. Elbow arthroscopy revealed the presence of t...
Lateral pain of the elbow is frequently reported. Impingement of the humeroradial fold or a synovial fringe is a seldom evoked cause, sometimes ignored. Nonetheless, this etiology should be remembered...
Clinical Trials
Study of the Effect of Neck Treatment on Shoulder Impingement
The purpose of this pilot study is to conduct research to determine the most effective physical therapy treatment for a condition called shoulder impingement. This condition occurs when t...
Operative Versus Non-operative Management of Subacromial Impingement
The study aims at determining the effectiveness and cost-effectiveness of surgical management of subacromial impingement (including partial tears) compared to conservative treatment. The r...
Dynamic Imaging of the Hip for Pre-Operative Planning
One of the leading causes of hip arthritis is femoro-acetabular impingement which means the hip joint is deformed such that the hip joint jams in the front when the hip is bent all the way...
Prevalence of Femoroacetabular Impingement in Asymptomatic Patients
Femoroacetabular hip impingement syndrome is a newly recognized cause of early arthritis of the hip. In this condition a variation in the shape of the upper thigh bone causes it to repeat...
Conservative or Operative Treatment for the Shoulder Impingement Syndrome?
Study hypothesis: The impingement syndrome of the rotator cuff is a common cause of shoulder pain for which the most effective treatment is unknown. Steroid injections and anti-inflammator...
