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

Wu, Wei‐Ting; Chang, Ke‐Vin; Mezian, Kamál; Naňka, Ondřej; Ricci, Vincenzo; Chang, Hsiang-Chi; Wang, Bow; Hung, Chen-Yu; Özçakar, Levent

doi:10.3390/diagnostics13010139

Cited by 11 publications

(9 citation statements)

References 39 publications

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“…A more recent meta-analysis conducted by Singer et al (24) concluded that a cutoff value of ≤15 mm yielded a sensitivity of 76.9%, specificity of 81.0%, and overall accuracy of 78.3%. Although MRI is the imaging most commonly used to determine the width of the IFS, comparative studies have demonstrated that ultrasound is equivalent to MRI for IFS dimensions (19,25,26). In 2017, the utility of ultrasound for measuring IFS was validated on MRI in 10 asymptomatic patients (19).…”

Section: Discussionmentioning

confidence: 99%

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Ischiofemoral Impingement Due to an Undiagnosed Pelvic Avulsion Fracture

Warren,

Ahmed,

Raja

2023

Curr Sports Med Rep

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Ischial tuberosity (IT) avulsion fractures are an uncommon cause of injuries in athletes. In this case, a 26-year-old female suffering from posterior right hip pain for over a decade presented with debility and a decrease in athletic function. Notable history included a hamstring strain while sprinting in elementary school. Clinical examination suggested hamstring tendinopathy and ischiofemoral impingement (IFI). Magnetic resonance imaging (MRI) revealed a chronic, fragmented, IT apophyseal avulsion fracture with ischial bursitis and edema within the fragmented bone, suggesting the development of heterotopic ossification (HO). Diagnostic ultrasound revealed signs of IFI, not evident on MRI. Ultrasound-guided corticosteroid injection in her ischial bursa and ischiofemoral space provided complete relief. The patient was able to resume her activities of daily living and sports-related activities without pain. Although interventional treatments may provide temporary pain relief, a multimodal approach is required for the treatment of HO.

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Section: Discussionmentioning

confidence: 99%

“…Although MRI is the imaging most commonly used to determine the width of the IFS, comparative studies have demonstrated that ultrasound is equivalent to MRI for IFS dimensions (19,25,26). In 2017, the utility of ultrasound for measuring IFS was validated on MRI in 10 asymptomatic patients (19).…”

Section: Discussionmentioning

confidence: 99%

Ischiofemoral Impingement Due to an Undiagnosed Pelvic Avulsion Fracture

Warren,

Ahmed,

Raja

2023

Curr Sports Med Rep

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“…Ischiofemoral impingement syndrome is a neglected cause of posterior hip pain, which originates from narrowing of the space between the lateral aspect of the ischium and the medial aspect of the lesser trochanter [ 85 ]. Femoral anteversion predisposes patients to narrowing of the ischiofemoral space and subsequent quadratus femoris muscle injury.…”

Section: Discussionmentioning

confidence: 99%

“…Pain can originate (proximally) from the tendinous insertion of the hamstring muscles on the ischial tuberosity distal to its myotendinous junction [ 85 ].…”

Section: Discussionmentioning

confidence: 99%

Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol

Gandolfi,

Zamparini,

Spinelli

et al. 2023

JFMK

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Dental professionals are exposed to significant unavoidable physical stress, and theoretical ergonomic recommendations for a sitting workplace are inapplicable in many dental activities. Work-related musculoskeletal disorders (WMSDs) represent a serious health problem among dental professionals (prevalence: 64–93%), showing involvement of 34–60% for the low back and 15–25% for the hips. Muscle stress; prolonged sitting; forward bending and twisting of the torso and head; unbalanced working postures with asymmetrical weight on the hips and uneven shoulders; and others are inevitable for dental professionals. Therefore, the approach for the prevention and treatment of WMSDs must be therapeutic and compensatory. This project was conceived to provide a Yoga protocol for dental professionals to prevent or treat WMSDs from a preventive medicine perspective, and it would represent a Yoga-based guideline for the self-cure and prevention of musculoskeletal problems. Methods: Specific Yoga positions (āsana, such as Virāsana, Virabhadrāsana, Garudāsana, Utkatāsana, Trikonāsana, Anuvittāsana, Chakrāsana, Uttanāsana, Pashimottanāsana) have been selected, elaborated on and adapted to be practiced in a dental office using a dental stool or the dental office walls or a dental unit chair. The protocol is specifically devised for dental professionals (dentists, dental hygienists and dental assistants) and targeted for the low back, hips and legs (including knees and ankles). The protocol includes Visranta Karaka Sthiti (supported positions) in sitting (Upavistha Sthiti) and standing (Utthistha Sthiti) positions, twisting/torsions (Parivrtta), flexions/forward bend positions (Pashima) and extensions/arching (Purva) for musculo-articular system decompression and mobilization. Results: Over 60 Yogāsana—specifically ideated for back detensioning and mobilization, lumbar lordosis restoration, trunk side elongation, hip release and leg stretches and decontraction—are shown and described. The paper provides a meticulous description for each position, including the detailed movement, recommendations and mistakes to avoid, and the breathing pattern (breath control) in all the breath-driven movements (āsana in vinyāsa). An exhaustive analysis of posture-related disorders affecting the lower body among dental professionals is reported, including low-back pain, hip pain and disorders, piriformis syndrome and quadratus femoris dysfunction (gluteal pain), iliopsoas syndrome, multifidus disorders, femoroacetabular and ischiofemoral impingement, spinopelvic mobility, lumbopelvic rhythm, impairment syndromes, lower crossed syndrome, leg pain, knee pain and ankle disorders. Conclusions: A detailed guideline of āsana for low-back decompression, hip joint destress, piriformis and gluteal muscle release, lumbar lordosis recovery and a spinopelvic mobility increase has been elaborated on. The designed Yogāsana protocol represents a powerful tool for dental professionals to provide relief to retracted stiff muscles and unbalanced musculoskeletal structures in the lower body.

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“…6), the ischiofemoral space can be visualized (▶ Table 2). [15] At this level, dynamic sonographic scanning can be performed to observe in real time how the ischiofemoral space changes its shape/dimension during the different motions and what happens to the anatomical structures located inside (▶ Video 3) [3]. Indeed, in patients with a clinical scenario suspected of ischiofemoral impingement, a peculiar sonographic finding has been described in the pertinent literature.…”

Section: Ischiofemoral Spacementioning

confidence: 99%

Ultrasound Imaging of the Sciatic Nerve

Cocco,

Ricci,

Corvino

et al. 2023

Ultraschall Med

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The sciatic nerve (SN) is the biggest nerve in the human body and innervates a large skin surface of the lower limb and several muscles of the thigh, leg, and foot. It originates from the ventral rami of spinal nerves L4 through S3 and contains fibers from both the posterior and anterior divisions of the lumbosacral plexus. After leaving the neural foramina, the nerve roots merge with each other forming a single peripheral nerve that travels within the pelvis and thigh. Non-discogenic pathologies of the SN are largely underdiagnosed entities due to nonspecific clinical tests and poorly described imaging findings. Likewise, to the best of our knowledge, a step-by-step ultrasound protocol to assess the SN is lacking in the pertinent literature. In this sense, the aim of the present manuscript is to describe the normal sono-anatomy of the SN from the greater sciatic foramen to the proximal thigh proposing a standardized and simple sonographic protocol. Then, based on the clinical experience of the authors, a few tips and tricks have been reported to avoid misinterpretation of confounding sonographic findings. Last but not least, we report some common pathological conditions encountered in daily practice with the main purpose of making physicians more confident regarding the sonographic “navigation” of a complex anatomical site and optimizing the diagnosis and management of non-discogenic neuropathies of the SN.

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

Cited by 11 publications

References 39 publications

Ischiofemoral Impingement Due to an Undiagnosed Pelvic Avulsion Fracture

Ischiofemoral Impingement Due to an Undiagnosed Pelvic Avulsion Fracture

Āsana for Back, Hips and Legs to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yóga Protocol

Ultrasound Imaging of the Sciatic Nerve

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