Research Article
İSKİOFEMORAL SIKIŞMA SENDROMU AÇISINDAN İSKİOFEMORAL VE QUADRATUS FEMORİS MESAFELERİNİN MANYETİK REZONANS GÖRÜNTÜLEME İLE DEĞERLENDİRİLMESİ Evaluation of Ischiofemoral and Quadratus Femoris Spaces by Magnetic Resonance Imaging in terms of Ischiofemoral Impingement
Abstract
ÖZET
Amaç: İskiofemoral sıkışma yeni görüntüleme yöntemleri ile tanısı konulmaya başlanmış önemli
kalça ağrısı sebeplerindendir. Biz bu çalışmamızda iskiofemoral ve quadratus femoris mesafeleri
ile iskiofemoral sıkışma sendromunun, radyolojik bulguları arasındaki ilişkiyi incelemeyi amaçladık.
Materyal ve Metod: Çalışmaya dahil edilme kriterlerini karşılayan 244 kalça MR görüntüsü değerlendirildi.
IF (iskiofemoral) ve QF (quadratus femoris) mesafeleri ve quadratus femoris kasındaki
sıkışma bulguları, iki radyolog tarafından değerlendirildi. İF ve QF mesafelerinin Quadratus
femoris kası sinyal artışı ve kas atrofisi ile olan ilişkisi istatistiksel olarak değerlendirildi.
Sonuç: Quadratus femoris kasında sinyal artışı olan ve atrofi gelişen hastalarda QF ve İF mesafelerinin
anlamlı derecede azaldığı izlendi (P<0,001). İF ve QF mesafelerinin daralması sıkışma
sendromu, açısından anlamlı risk oluşturmaktadır.
Anahtar Sözcükler: İskiofemoral sıkışma; Manyetik rezonans görüntüleme; Quadratus femoris
kası
ABSTRACT
Aim: Ischiofemoral impingement is one of the most common causes of hip pain that has been
diagnosed with new imaging modalities. In this study, we aimed to investigate the relationship
between ischiofemoral and quadratus femoris distances and impingement findings.
Materials and Methods: A total of 244 hip MR images that met the inclusion and exclusion
criteria were evaluated. IF (ischiofemoral) and QF (quadratus femoris) distances and quadratus
femoris muscle impingement findings were evaluated by two radiologists. The relationship of IF
and QF distances with quadratus femoris muscle signal increase and atrophy were statistically
evaluated.
Results: In patients, with high signal intensity and atrophy at quadratus femoris muscle, QF and
IF distances were significantly decreased. (P <0.001).
Conclusion:The narrowing of the IF and QF distances poses a significant risk for impingement.
Keywords: Ischiofemoral impingement; Magnetic resonance imaging; Quadratus femoris
muscle
References
- 1. Morelli V, Smith V. Groin injuries in athletes. Am Fam Physician. 2001;64:1405-14. 2. Sussman WI, Han E, Schuenke MD. Quantitative assessment of the ischiofemoral space and evidence of degenerative changes in the quadratus femoris muscle. Surg Radiol Anat. 2013;35:273-81. 3. Johnson KA. Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases. J Bone Joint Surg Am. 1977;59:268-9. 4. Torriani M, Souto SC, Thomas BJ, Ouellette H, Bredella MA. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. AJR Am J Roentgenol. 2009;193:186-90. 5. Johnson AC, Hollman JH, Howe BM, Finnoff JT. Variability of ischiofemoral space dimensions with changes in hip flexion: an MRI study. Skeletal Radiol. 2017;46:59-64. 6. Finnoff JT, Johnson AC, Hollman JH. Can Ultrasound Accurately Assess Ischiofemoral Space Dimensions? A Validation Study. PM R. 2017;9:392-7. 7. Maras Ozdemir Z, Aydingoz U, Gormeli CA, Sagir Kahraman A. Ischiofemoral Space on MRI in an Asymptomatic Population: Normative Width Measurements and Soft Tissue Signal Variations. Eur Radiol. 2015;25:2246-53. 8. Tosun O, Algin O, Yalcin N, Cay N, Ocakoglu G, Karaoglanoglu M. Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability. Skeletal Radiol. 2012;41:575-87.
Year 2019,
Volume: 9 Issue: 1, 130 - 133, 26.03.2019
Abstract
References
- 1. Morelli V, Smith V. Groin injuries in athletes. Am Fam Physician. 2001;64:1405-14. 2. Sussman WI, Han E, Schuenke MD. Quantitative assessment of the ischiofemoral space and evidence of degenerative changes in the quadratus femoris muscle. Surg Radiol Anat. 2013;35:273-81. 3. Johnson KA. Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases. J Bone Joint Surg Am. 1977;59:268-9. 4. Torriani M, Souto SC, Thomas BJ, Ouellette H, Bredella MA. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. AJR Am J Roentgenol. 2009;193:186-90. 5. Johnson AC, Hollman JH, Howe BM, Finnoff JT. Variability of ischiofemoral space dimensions with changes in hip flexion: an MRI study. Skeletal Radiol. 2017;46:59-64. 6. Finnoff JT, Johnson AC, Hollman JH. Can Ultrasound Accurately Assess Ischiofemoral Space Dimensions? A Validation Study. PM R. 2017;9:392-7. 7. Maras Ozdemir Z, Aydingoz U, Gormeli CA, Sagir Kahraman A. Ischiofemoral Space on MRI in an Asymptomatic Population: Normative Width Measurements and Soft Tissue Signal Variations. Eur Radiol. 2015;25:2246-53. 8. Tosun O, Algin O, Yalcin N, Cay N, Ocakoglu G, Karaoglanoglu M. Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability. Skeletal Radiol. 2012;41:575-87.
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Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 26, 2019 |
| Published in Issue | Year 2019 Volume: 9 Issue: 1 |
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