Skip to main content
SpringerLink
Log in

Ischiofemoral impingement of the hip: a novel approach to treatment

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Ischiofemoral impingement (IFI) is an uncommon source of hip pain recently described in the non-surgical hip, associated with decreased space between the lesser trochanter and the ischium. There are no reports in the English literature of surgical treatment of this problem. We describe a case of IFI in a 19-year-old female who failed conservative management and underwent endoscopic surgical intervention to increase the space between her ischium and proximal femur. More than 2 years later, the patient is doing very well with an improvement of her iHOT score of 53 points to 85.

Level of evidence IV.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Ali AM, Whitwell D, Ostlere SJ (2011) Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement. Skeletal Radiol 40:653–656

    Article  PubMed  Google Scholar 

  2. Byrd JWT (2006) Evaluation and management of the snapping iliopsoas tendon. Instr Course Lect 55:347–355

    PubMed  Google Scholar 

  3. Byrd JWT (2011) Ischiofemoral Impingement. Paper presented at 3rd annual meeting of the International Society of Hip Arthroscopy. Paris, France. Oct 2011

  4. Johnson KA (1977) Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases. J Bone Joint Surg Am 59:268–269

    CAS  PubMed  Google Scholar 

  5. Kassarjian A (2008) Signal abnormalities in the quadratus femoris muscle: tear or impingement? Am J Roentogenol 190:W379

    Article  Google Scholar 

  6. Mohtadi NGH, Safran MR, Griffin D, MAHORN Group et al (2012) The development and validation of a self-administered quality of life outcome measure for young, active patients with hip pathology: the International Hip Outcome Tool (IHOT-33). Arthroscopy 28(5):595–610

    Article  PubMed  Google Scholar 

  7. Patti JW, Ouellette H, Bredella MA et al (2008) Impingement of lesser trochanter on ischium as a potential cause for hip pain. Skeletal Radiol 37:939–941

    Article  PubMed  Google Scholar 

  8. Stafford GH, Villar RN (2011) Ischiofemoral impingement. J Bone Joint Surg Br 93(B):1300–1302

    Article  CAS  PubMed  Google Scholar 

  9. Torriani M, Souto SC, Thomas BJ et al (2009) Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. Am J Roentgenol 193:186–190

    Article  Google Scholar 

  10. Tosun O, Algin O, Yalcin N et al (2012) Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability. Skeletal Radiol 41:575–587

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. 450 Broadway, M/C 6342, Redwood City, CA, 94063, USA

    Marc Safran & Jessica Ryu

Authors
  1. Marc Safran
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jessica Ryu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marc Safran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Safran, M., Ryu, J. Ischiofemoral impingement of the hip: a novel approach to treatment. Knee Surg Sports Traumatol Arthrosc 22, 781–785 (2014). https://doi.org/10.1007/s00167-013-2801-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-013-2801-8

Keywords

Search

Navigation