坐骨股骨撞击综合征的超声表现及肉毒毒素化学去神经治疗：病例报告。

Ultrasound Finding of Ischiofemoral Impingement Syndrome and Novel Treatment With Botulinum Toxin Chemodenervation: A Case Report.

机构信息

Department of Rehabilitation, Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889; Department of Rehabilitation, Uniformed Services University of Health Sciences, Bethesda, MD.

Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD.

出版信息

PM R. 2018 Jun;10(6):665-670. doi: 10.1016/j.pmrj.2017.11.010. Epub 2017 Nov 11.

DOI:10.1016/j.pmrj.2017.11.010

PMID:29138040

Abstract

UNLABELLED

Ischiofemoral impingement syndrome (IFIS) is a rare and poorly understood condition that leads to deep gluteal pain, groin, and/or medial thigh pain. It has unique diagnostic challenges, with limited nonoperative treatment options. It is caused by the impingement of the quadratus femoris by the lesser trochanter and the ischium. Currently, there are no validated physical examination maneuvers for IFIS, and the value of ischiofemoral interval for establishing IFIS is also uncertain. Ultrasound-guided corticosteroid injections have been reported. Here, we present a case of novel treatment of IFIS with botulinum chemodenervation that led to long-term symptomatic and functional improvement in this patient, with the unique ultrasound findings of the "eruption sign."

LEVEL OF EVIDENCE

IV.

摘要

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坐骨股骨撞击综合征（IFIS）是一种罕见且了解甚少的病症，可导致臀部深处、腹股沟和/或大腿内侧疼痛。它具有独特的诊断挑战，且非手术治疗选择有限。它是由股方肌被小转子和坐骨撞击引起的。目前，IFIS 没有经过验证的体格检查操作，股坐骨间隙对于确立 IFIS 的价值也不确定。据报道，超声引导下皮质类固醇注射是有效的。在这里，我们提出了一个使用肉毒杆菌化学神经切断术治疗 IFIS 的新案例，该治疗方法导致患者的症状和功能得到长期改善，并具有独特的“爆发征象”超声发现。