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坐骨股骨撞击综合征,一种罕见的髋关节疼痛病因:病例报告及文献综述

Ischiofemoral impingement syndrome, an unusual entity of hip pain: A case report and literature review.

作者信息

Sharma Praveen K, Raja Sam, Jerosha Stany, Gr Nivashini

机构信息

Department of Radiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu 602105, India.

出版信息

Radiol Case Rep. 2025 Jan 18;20(4):1893-1899. doi: 10.1016/j.radcr.2024.12.049. eCollection 2025 Apr.

DOI:10.1016/j.radcr.2024.12.049
PMID:39897764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11786801/
Abstract

Ischiofemoral impingement syndrome (IFIS) is a rare condition that can cause significant hip pain, often linked to past injuries or surgeries. We present a case of a 33-year-old male who has persistent pain in both hips, radiating down his legs and experiencing a snapping sensation without any history of trauma or surgery. Magnetic resonance imaging (MRI) revealed swelling in the quadratus femoris muscle and reduced space between his ischium and femur, typical signs of IFIS. Instead of opting for surgery, the 33-year-old male managed with anti-inflammatory medications, physical therapy, and a targeted exercise program. The pain gradually subsided, and the 33-year-old male regained complete movement in the hip. This case is noteworthy because it shows that non-surgical treatments can successfully manage IFIS, even in the absence of trauma. This case emphasizes the need to consider IFIS when diagnosing unexplained hip pain.

摘要

坐骨股骨撞击综合征(IFIS)是一种罕见病症,可导致严重的髋部疼痛,通常与既往受伤或手术有关。我们报告一例33岁男性病例,该患者双侧髋部持续疼痛,疼痛向下放射至腿部,并伴有弹响感,且无任何外伤或手术史。磁共振成像(MRI)显示股方肌肿胀,坐骨与股骨之间的间隙减小,这是IFIS的典型体征。这位33岁男性未选择手术,而是通过服用抗炎药物、接受物理治疗和针对性的锻炼计划进行治疗。疼痛逐渐减轻,该男性的髋部恢复了完全活动。此病例值得关注,因为它表明即使没有外伤,非手术治疗也能成功治疗IFIS。该病例强调了在诊断不明原因的髋部疼痛时需要考虑IFIS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/45f8be8d304a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/0cb759231373/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/9222fb9177c9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/857f033335e6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/45f8be8d304a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/0cb759231373/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/9222fb9177c9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/857f033335e6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6c5/11786801/45f8be8d304a/gr4.jpg

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Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement.病例报告:由于闭孔神经撞击引起的弹响髋的影像学和手术治疗。
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