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Ischiofemoral impingement

Case contributed by Tim Luijkx
Diagnosis certain

Presentation

Suspected myositis/myopathy with heavy exercise related muscle soreness of the arms and legs ? Signs of myositis

Patient Data

Age: 50 years
Gender: Female
mri

Bilateral narrow distance between lesser trochanter of the femur and ischial tuberosity (right 9 mm, left 12 mm) with high T2 fatsat signal in the quadratus femoris muscle on both sides in keeping with edema.

No muscle wasting or fatty changes.

Case Discussion

Findings are consistent with bilateral ischiofemoral impingement based on a narrow interval between ischial tuberosity and the femur.

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