Extra-Articular Hip Impingement: A Systematic Review Examining Operative Treatment of Psoas, Subspine, Ischiofemoral, and Greater Trochanteric/Pelvic Impingement

de, Darren; Alradwan, Hussain; Cargnelli, Stephanie; Thawer, Zoyah; Simunovic, Nicole; Cadet, Edwin R.; Bonin, Nicolas; Larson, Christopher M.; Ayeni, Olufemi R.

doi:10.1016/j.arthro.2014.02.042

Cited by 101 publications

(80 citation statements)

References 22 publications

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“…Arthroscopic resection of an impinging AIIS has also been reported by some experienced hip arthroscopists [21,23,25,27], and studies have shown good short-term outcomes up to two years follow-up for a return to sporting activity, increased ROM, Harris hip score and visual analogue scale [21,23,27]. To date, post-surgical rehabilitation has not been objectively studied and its role in the post-operative period is poorly detailed in the literature [18], while two to four weeks of protected weight bearing with crutches and ROM exercises until basic muscle strength is regained are recommended [28]. The post-operative administration of non-steroidal antiinflammatory agents for prophylaxis against heterotopic ossification for the first three to four weeks after surgery is also advised [23].…”

Section: Managementmentioning

confidence: 99%

“…Iliopsoas impingement is more common in young females and individuals involved in regular sporting activities [18,28,37]. The average age of the patients is 25-35 years (range, 15-57 years) [28,35].…”

Section: Aetiology and Clinical Featuresmentioning

confidence: 99%

“…A pre-operative angiogram is recommended to this end, especially when the local anatomy is grossly distorted, as in the presence of exostosis [17]. Little has been published on definitive treatment for this condition thus far, however, there has been reported improvement in pain and range of movement after surgical management in some patients with no complications [15,18].…”

Section: Managementmentioning

confidence: 99%

“…The anatomical and functional relationship between the iliopsoas muscle and the hip has been highlighted in previous studies. It is postulated that the impingement is caused by a repetitive traction injury by the iliopsoas tendon that is scarred and adherent to the capsule-labrum complex of the hip or by a tight or inflamed iliopsoas tendon that causes impingement during hip extension [18,31].…”

Section: Iliopsoas Impingement Anatomical Considerationsmentioning

confidence: 99%

“…Non-surgical treatment such as activity modification, physiotherapy and therapeutic anaesthetic and steroid injections may be prescribed first but their efficacy has not been closely investigated [18]. Patients who fail conservative treatment, an AIIS decompression is often performed through the standard anterolateral and mid-anterior hip arthroscopy portals.…”

Section: Managementmentioning

confidence: 99%

See 4 more Smart Citations

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Nakano

Yip

Khanduja

2017

International Orthopaedics (SICOT)

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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. Methods By reviewing past literature, the anatomy, pathophysiology, clinical features and the management of the five common extra-articular hip impingement syndromes were described. Results The common extra-articular impingement syndromes are: 1) Ischiofemoral impingement: quadratus femoris muscle becomes compressed between the lesser trochanter and the ischial tuberosity. 2) Subspine impingement: mechanical conflict occurs between an enlarged or malorientated anterior inferior iliac spine and the distal anterior femoral neck. 3) Iliopsoas impingement: mechanical conflict occurs between the iliopsoas muscle and the labrum, resulting in distinct anterior labral pathology. 4) Deep gluteal syndrome: pain occurs in the buttock due to the entrapment of the sciatic nerve in the deep gluteal space. 5) Pectineofoveal impingement: pain occurs when the medial synovial fold impinges against overlying soft tissue, primarily the zona orbicularis. Knowledge for these syndromes still remains limited for reasons mostly relating to their low prevalence and their co-existence with typical femoro-acetabular impingement. Conclusions The knowledge of extra-articular hip impingement syndromes is essential and should form a part of the differential diagnoses alongside intra-articular pathology including femoro-acetabular impingement particularly in the younger patient with a non-arthritic hip.

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Section: Managementmentioning

confidence: 99%

Section: Aetiology and Clinical Featuresmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Iliopsoas Impingement Anatomical Considerationsmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 3 more Smart Citations

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Nakano

Yip

Khanduja

2017

International Orthopaedics (SICOT)

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Sonographic Overview of Usual and Unusual Disorders of the Rectus Femoris Tendon Origins

Moraux

Balbi

Cockenpot

et al. 2017

J of Ultrasound Medicine

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Rectus femoris muscle proximal injuries are not rare conditions. The proximal rectus femoris tendinous anatomy is complex and may be affected by traumatic, microtraumatic, or nontraumatic disorders. A good knowledge of the proximal rectus femoris anatomy allows a better understanding of injury and disorder patterns. A new sonographic lateral approach was recently described to assess the indirect head of the proximal rectus femoris, hence allowing for a complete sonographic assessment of the proximal rectus femoris tendons. This article will review sonographic features of direct, indirect, and conjoined rectus femoris tendon disorders.

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Athletic Injuries Involving the Hip

Roth

Nepple

2019

The Pediatric and Adolescent Hip

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Extra-Articular Hip Impingement: A Systematic Review Examining Operative Treatment of Psoas, Subspine, Ischiofemoral, and Greater Trochanteric/Pelvic Impingement

Cited by 101 publications

References 22 publications

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Sonographic Overview of Usual and Unusual Disorders of the Rectus Femoris Tendon Origins

Athletic Injuries Involving the Hip

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