İskiofemoral Sıkışma Sendromunda İskiofemoral ve Quadratus Femoris Boşlukları, Quadratus Femoris Kas Sinyalinin Manyetik Rezonans Görüntüleme ile Değerlendirilmesi

Yıl 2025, Cilt: 35 Sayı: 1, 91 - 96, 28.02.2025

Seyit Erol , Abdullah Enes Ataş

https://doi.org/10.54005/geneltip.1584028

Öz

Amaç:
İskiofemoral sıkışma (İFS) sendromu, iskiyal tüberozite ile küçük trokanter arasındaki boşluğun daralması nedeniyle quadratus femoris kasında basınç ve ödem bulgularının varlığıdır. Amacımız, İFS sendromunda quadratus femoris kasının deformasyonunu veya ödemini tanımak, iskiofemoral mesafe (İFM), quadratus femoris mesafesinin (QFM) genişliğini ölçmek ve kontrol grubuyla karşılaştırmaktır.
Gereç ve Yöntemler:
Bu retrospektif çalışmada, 50'si İFS sendromlu ve 50'si kontrol grubunda olmak üzere 100 hastanın kalça MRG’leri değerlendirildi. Hastaların kalça MRG'lerinde İFM, QFM ve quadratus femoris kasları değerlendirildi. Quadratus femoris kasındaki ödem ve yağlı atrofi 4 derece olarak kategorize edildi. İki grup arasındaki İFM, QFM, quadratus femoris kas ödemi ve yağlı infiltrasyonlardaki farklılıklar değerlendirildi.
Bulgular:
Vaka grubunda ortalama İFM ve QFM, kontrol grubundan anlamlı derecede daha küçüktü. İki grup arasında istatistiksel olarak anlamlı bir fark vardı (p < 0,001). Ayrıca, kadın İFM ve QFM genişlikleri erkek İFM ve QFM genişliklerinden daha küçüktü; 2 grup arasında istatistiksel olarak anlamlı bir fark vardı (p < 0,001). İFM ve QFM arasında güçlü bir pozitif (r = 0,933) ve anlamlı (p < 0,001) korelasyon vardı. Quadratus femoris kasında ödem ve yağlı atrofi olmayan kontrol grubu ile değişen derecelerde ödem ve yağlı atrofi olan vaka grubu arasında iskiofemoral mesafe ve quadratus femoris mesafelerinde istatistiksel olarak anlamlı bir fark vardı (p < 0,001).
Sonuçlar:
Sonuç olarak, İFM ve QFM daralması, quadratus femoris kasında sıkışmaya neden olur ve posterior kalça ağrısının bir nedenidir. MRI incelemesi, İFS sendromu değerlendirilmesi için güvenilir bilgiler sağlayabilir.

Anahtar Kelimeler

İskiofemoral sıkışma, quadratus femoris mesafesi, iskiofemoral mesafe, quadratus femoris kası

Evaluation of Ischiofemoral and Quadratus Femoris Spaces, Quadratus Femoris Muscle Signal in Ischiofemoral Impingement Syndrome by Magnetic Resonance Imaging

Öz

BAckground
Ischiofemoral impingement (IFI) syndrome is the presence of pressure and edema findings in the quadratus femoris muscle due to narrowing of the space between the ischial tuberosity and the lesser trochanter. Our aim is to recognize the deformation or edema of the quadratus femoris muscle in IFI syndrome, to measure the ischiofemoral space (IFS), the width of the quadratus femoris space (QFS) and to compare with the normal group.
Methods:
In this retrospective study, hip MRIs of 100 patients, 50 with IFI syndrome and 50 in the control group, were evaluated. IFS, QFS and quadratus femoris muscles were be evaluated in the patients' hip MRIs. Edema and fatty atrophy in the quadratus femoris muscle were categorized as 4 degrees. Differences in IFS, QFS, quadratus femoris muscle edema and fatty infiltrations between the two groups were be evaluated.
Results:
The mean IFS and QFS in the case group were significantly smaller than in the control group. There was a statistically significant difference between the two groups (p < 0.001). Also, female IFS and QFS widths were smaller than male IFS and QFS widths; there was a statistically significant difference between the 2 groups (p < 0.001). There was a strong positive (r = 0.933) and significant (p < 0.001) correlation between IFS and QFS. There was a statistically significant difference in the ischiofemoral distance and quadratus femoris distances between the control group with no edema and fatty atrophy in the quadratus femoris muscle and the case group with varying degrees of edema and fatty atrophy (p <0.001).
Conclusions:
In conclusion, narrowing of the ischiofemoral and quadratus femoris distances causes impingement in the quadratus femoris muscle and is a cause of posterior hip pain. MRI examination can provide reliable information for the evaluation of ischiofemoral impingement syndrome

Anahtar Kelimeler

Ischiofemoral Impingement, Quadratus Femoris Muscle, ischiofemoral space, quadratus femoris space

Kaynakça

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