Extra-Articular Impingement: Ischiofemoral Impingement and Trochanteric-Pelvic

Beckmann, James T.; Safran, Marc R.; Abrams, Geoffrey D.

doi:10.1053/j.otsm.2015.06.001

Cited by 9 publications

(4 citation statements)

References 23 publications

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“…However, none of these tests is specific, as they are present in many other hip conditions. 38 Also, intraarticular pathology may coexist, 39,40 making them less reliable. Laible et al 41 describe in a retrospective study the "iliopsoas test", which revealed a 94% sensitivity rate in their patient pool.…”

Section: Clinical Examinationmentioning

confidence: 99%

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

et al. 2019

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Introduction: Iliopsoas impingement occurs secondary to a tight iliopsoas tendon that causes impingement during movement. This review presents current aspects regarding the diagnosis of iliopsoas impingement and also exposes the readers to the possible anatomic and clinical variations together with the available treatment options. Methods: We conducted a narrative literature review with regard to non-arthroplasty iliopsoas impingement. Results: Iliopsoas impingement is characterised by a distinct pattern of labral pathology, with anteriorly localised labral damage, that does not extend to the anterosuperior portion of the acetabulum. Anterior groin pain and intermittent catching, snapping or popping of the hip are common symptoms. Non-specific focal tenderness is often found over the iliopsoas tendon at the level of the anterior aspect of the joint. The ‘C-sign’ and Impingment test are usually positive. Dynamic ultrasonography is also useful for confirming the diagnosis. Initial management of painful iliopsoas impingement should be conservative. When patients continue to have pain, an ultrasound-guided injection can provide relief and predict the response to the surgical release. For patients who have recurrent pain after local injection of steroids, arthroscopic release has shown to achieve effective results. Conclusions: Although different treatment options for iliopsoas impingement are emerging, the current standard of therapy is conservative followed by an arthroscopic tenotomy if necessary. Young adult hip surgeons should always keep this differential in mind in a patient presenting with groin pain and mechanical symptoms.

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Section: Clinical Examinationmentioning

confidence: 99%

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

et al. 2019

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“…GTPI suggests the painful abutment of an elongated greater trochanter (GT) against the ilium during abduction and extension (89). Developmentally, an elongation of the GT occurs due to partial or complete arrest of the proximal femoral physis.…”

Section: Greater Trochanteric-pelvic Impingementmentioning

confidence: 99%

“…GTPI is more prevalent in younger individuals (3, 89). Presenting symptoms include groin and lateral hip pain, elicited during abduction and extension.…”

Section: Greater Trochanteric-pelvic Impingementmentioning

confidence: 99%

“…Radiographs seem to be the method of choice for diagnosing GTPI, depicting a prominent greater trochanter (89). The relationship between the GT and the femoral head could be quantitated by the centre-trochanter distance, defined as the distance between the tip of the GT and the level of the femoral head centre, with normal values ranging from 7 mm above to 17 mm below that level (91).…”

Section: Greater Trochanteric-pelvic Impingementmentioning

confidence: 99%

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Imaging of Impingement Syndromes around the Hip Joint

Vassalou

Zibis²,

Klontzas

et al. 2017

HIP International

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Impingement syndromes are increasingly recognised as significant causes of hip pain and dysfunction. A broad spectrum of intraarticular and extraarticular conditions has been implicated in their pathophysiology. Physical examination is often inconclusive as clinical findings may be unclear or misleading, often simulating other disorders. With current improvements in imaging techniques and better understanding of hip impingement related pathomechanisms, these entities can be accurately diagnosed. In addition, preoperative imaging has allowed for targeted treatment planning. This article provides an overview of the various types of hip impingement, including femoroacetabular impingement, ischiofemoral impingement, snapping hip syndrome, greater trochanteric-pelvic and subspine impingement. Current literature data regarding their pathogenesis, clinical manifestation and imaging work-up are discussed.

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Surgical Technique: Trochanteric Advancement

Garcia¹

2021

Hip Arthroscopy and Hip Joint Preservation Surgery

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Extra-Articular Impingement: Ischiofemoral Impingement and Trochanteric-Pelvic

Cited by 9 publications

References 23 publications

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

non-arthroplasty iliopsoas impingement in athletes: a narrative literature review

Imaging of Impingement Syndromes around the Hip Joint

Surgical Technique: Trochanteric Advancement

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