Impacto isquiofemoral: uma etiologia de quadril doloroso: relato de caso

Abstract

The authors declare that there was no conflict of interest in conducting this work ABSTRACTAn association between hip pain and quadratus femoris muscle abnormality on magnetic resonance imaging (MRI) with concurrent narrowing of the ischiofemoral space has been reported in the recent literature. This raises the possibility that the muscle damage observed is due to ischiofemoral impingement. This diagnosis has been noted in middle-aged females either with or without a history of trauma or surgery, is a rarely described feature. We report here on a 31-year-old woman who presented with non-traumatic hip pain and evidence of narrowing of the ischiofemoral space and edema in the quadratus femoris. Nonsurgical treatment was administered, which relieved her hip pain. The diagnosis of ischiofemoral impingement should be considered in female patients complaining of hip pain without any other evident cause.

Isquifemoral impingment syndrome-a clinical case

“…The main causes that lead to Ischiofemoral Impingement are: valgus femur neck, more vertical, bringing the femur closer to the pelvis; sequelae of developmental dysplasia of the hip; total hip arthroplasty; postoperative period of valgus osteotomies, dysmetria of the lower limbs; weakness of the abductor musculature, especially of the gluteus medius, causing the patient to walk with the lower limb more closed than physiological, generating friction between the femur and the ischium; the presence of a tumor in the proximal region of the femur or ischium. 1,2 Female morphology, with a wide and shallow pelvis, predisposes to ischiofemoral impingement. Treatment is conservative, except in cases of local tumor, with analgesic and antiinflammatory therapy, physiotherapy for analgesia, stretching and pelvic muscle strengthening.…”