Incidental finding of hereditary multiple osteochondroma causing ischiofemoral impingement

2021 ◽  
Vol 14 (9) ◽  
pp. e241840
Author(s):  
Ahmed Elnaggar ◽  
Roy Abraham ◽  
Shaher Hasanain ◽  
Khalid Al Hamadi
Keyword(s):  
Incidental Finding ◽  
Surgical Excision ◽  
Hip Pain ◽  
Lateral Border ◽  
Lesser Trochanter ◽  
Multiple Exostoses ◽  
Ischiofemoral Space ◽  
Reduced Space ◽  
Cause Of Pain ◽  
Ischiofemoral Impingement

Ischiofemoral impingement (IFI) has been described in the medical literature as a cause of hip pain. IFI occurs due to an abnormal contact or reduced space between the lesser trochanter and the lateral border of the ischium and is an often unrecognised cause of pain and snapping in the hip. Association of multiple exostoses and a skeletal dysplasia characterised by an abnormal modelling of bone metaphysis and osseous deformities is highly characteristic of this disease. Consequently, multiple exostoses may narrow the ischiofemoral space and cause impingement and pain, even in the absence of malignant transformation. Surgical excision of exostosis of the lesser trochanter is a safe and effective method of treatment for patients with IFI. We present a case of left hip pain with incidental finding of hereditary multiple osteochondroma causing IFI and discuss the predisposing factors and review of literature.

scholarly journals Endoscopic Lesser Trochanter Resection With Refixation of the Iliopsoas Tendon for Treatment of Ischiofemoral Impingement

2018 ◽  
Vol 7 (4) ◽  
pp. e321-e325 ◽  
Author(s):  
Rafael Corrales ◽  
Iñaki Mediavilla ◽  
Eric Margalet ◽  
Mikel Aramberri ◽  
Jorge A. Murillo-González ◽  
...  
Keyword(s):  
Iliopsoas Tendon ◽  
Lesser Trochanter ◽  
Ischiofemoral Impingement

scholarly journals Ischiofemoral Impingement Syndrome: Outcomes of Endoscopic Resection of the Lesser Trochanter

2017 ◽  
Vol 9 (4) ◽  
pp. 529 ◽  
Author(s):  
Alejandro Hernandez ◽  
Sleiman Haddad ◽  
Jorge H. Nuñez ◽  
Albert Gargallo-Margarit ◽  
Andrea Sallent ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
Impingement Syndrome ◽  
Lesser Trochanter ◽  
Ischiofemoral Impingement

Accuracy of 2 Clinical Tests for Ischiofemoral Impingement in Patients With Posterior Hip Pain and Endoscopically Confirmed Diagnosis

2016 ◽  
Vol 32 (7) ◽  
pp. 1279-1284 ◽  
Author(s):  
Juan Gómez-Hoyos ◽  
RobRoy L. Martin ◽  
Ricardo Schröder ◽  
Ian James Palmer ◽  
Hal David Martin
Keyword(s):  
Hip Pain ◽  
Clinical Tests ◽  
Ischiofemoral Impingement

scholarly journals Avulsion fracture of the lesser trochanter: an unusual cause of hip pain in an adolescent

CJEM ◽  
2013 ◽  
Vol 15 (02) ◽  
pp. 124-126 ◽  
Author(s):  
Eugenio Vazquez ◽  
Tommy Y. Kim ◽  
Timothy P. Young
Keyword(s):  
Children And Adolescents ◽  
Groin Pain ◽  
Avulsion Fracture ◽  
Sports Injuries ◽  
Acute Onset ◽  
Musculoskeletal Injuries ◽  
Hip Pain ◽  
Special Consideration ◽  
Lesser Trochanter ◽  
Adolescent Athlete

ABSTRACTSports injuries involving the hip and groin are common. Special consideration must be given to musculoskeletal injuries in children and adolescents as their immature skeletons have growth plates that are relatively weaker than the tendons and ossified bone to which they connect. We present a case of an adolescent athlete with acute-onset groin pain who was found to have an avulsion fracture of the lesser trochanter.

Popliteal artery pseudoaneurysm due to femur exostosis

2017 ◽  
Vol 27 (1) ◽  
pp. 39-41
Author(s):  
Wahid Syed ◽  
Mohd Akbar Bhat ◽  
Hakeem Zubair Ashraf ◽  
Farooq Ganie ◽  
Feroze Ahmad
Keyword(s):  
Popliteal Artery ◽  
Vascular Complications ◽  
Surgical Excision ◽  
Left Thigh ◽  
Lower Limbs ◽  
Patch Repair ◽  
Medial Aspect ◽  
Artery Pseudoaneurysm ◽  
Multiple Exostoses ◽  
Popliteal Artery Pseudoaneurysm

Vascular complications of femur exostoses are rare, with popliteal pseudoaneurysm being the most common. After establishing the diagnosis, surgical treatment is mandatory. A 35-year-old woman presented with a painful pulsatile swelling in the lower medial aspect of the left thigh. Investigations revealed a pseudoaneurysm arising from the left popliteal artery adjacent to femur exostoses. Skeletal survey revealed multiple exostoses involving the upper and lower limbs. Surgical excision of the pseudoaneurysm was followed by ePTFE patch repair of the defect and excision of the exostoses. The patient was discharged after 5 days and followed up for 6 months with excellent results.

scholarly journals Ischiofemoral impingement due to a lipoma of the ischiofemoral space

2016 ◽  
pp. bcr2015213210 ◽  
Author(s):  
Dimitra Papoutsi ◽  
Jessica Daniels ◽  
Alpesh Mistry ◽  
Coonoor Chandraseker
Keyword(s):  
Ischiofemoral Space ◽  
Ischiofemoral Impingement

scholarly journals Quadratus Femoris Partial Tear Secondary to Occult Ischiofemoral Impingement

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Kyriakos A. Papavasiliou ◽  
Dimitrios Stamiris ◽  
Stavros Stamiris ◽  
Antonia Bintoudi ◽  
Eleftherios Tsiridis
Keyword(s):  
Pathological Condition ◽  
Hip Pain ◽  
Diagnostic Challenge ◽  
Mri Scan ◽  
Wide Range ◽  
Uncommon Condition ◽  
The Right ◽  
Increased Activity ◽  
Ischiofemoral Impingement ◽  
Quadratus Femoris

Introduction: Hip pain in children and adolescents may become a diagnostic challenge. A wide range of causes must be considered in the deferential diagnosis. Ischiofemoral impingement (IFI) is a pathological condition defined by hip pain associated with narrowing of the ischiofemoral (IF) space. We report the case of an adolescent patient with non-traumatic quadratus femoris (QF) tear secondary to an occult IFI syndrome. To the best of our knowledge, this is the first such case reported in the literature. Case Report: A 15-year-old girl reported persisting hip pain for a month following increased physical activity. The symptoms had started a couple of days following a weekend of increased activity due to her participating in a dancing contest. Physical examination and imaging studies (standard anterior pelvis radiograph and MRI-scan) failed to reveal any pathology apart from an area of diffused edema in the IF space. Standard hematology and biochemistry laboratory tests were all within normal range. Conservative treatment for 6 months with rest and modification of physical activities failed. A new MRI scan showed partial edema resolution and marked reduction in the IF and QF spaces (12 mm and 8 mm, respectively), thus suggesting IFI, which, in turn, led to a partial rupture of the QF. The patient underwent a local infiltration of the QF with betamethasone sodium phosphate and betamethasone acetate (6+6 mg/2 ml) under CT guidance, which led to the complete resolution of all her symptoms. She remains symptoms free for 24 months. Conclusion: IFI is a rather uncommon condition in the developing skeleton. As in adults, in adolescents as well, MRI is the study of choice in cases of IFI, since it shows QF pathology and allows measurement of the IF and QF spaces, assisting physicians in establishing the right diagnosis. However, the coexistence of a QF hematoma and/or edema, may temper with the initial MRI measurements and render the diagnosis of the primary condition rat

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