Ischiofemoral impingement

Case contributed by Dr. Mandakini Siwach

Presentation

Right hip pain ? slipped capital femoral epiphysis.

Patient Data

Age: 14
Gender: Female
MRI

Hyperintensity in quadratus femoris muscle belly, as it traverses in between the lesser trochanter and ischial tuberosity.

Annotated image

Green arrows highlight the hyperintensity in quadratus femoris muscle belly.

Case Discussion

Ishiofemoral impingement is secondary to reduced space between the lesser trochanter and ischial tuberosity with resultant compression of quadratus femoris muscle belly, manifesting as edema on MRI. In long standing cases, there is atrophy of the muscle belly. It can present as atypical groin pain or muscle snapping.

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Case information

rID: 53796
Published: 20th Jun 2017
Last edited: 14th Aug 2019
Tag: hip mri
Inclusion in quiz mode: Included

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