Davis Christianson¹, Sunny Gupta², Mitesh Patel²* and Irfan Chhipa²

¹Sidney Kimmel Medical College, Thomas Jefferson University, USA
²Rothman Orthopaedic Institute, USA

*Corresponding Author: Mitesh Patel, Rothman Orthopaedic Institute, USA.

Received: September 04, 2024; Published: October 14, 2024

Abstract

Ischiofemoral impingement (IFI) is an under-recognized form of hip pain. Patients have presented with assorted symptoms including radiating leg pain, generalized hip and buttock pain and hip catching with or without an inciting injury. The pain is usually reproducible on examination. On imaging, patients are usually found to have a narrowed ischiofemoral space width with associated quadratus femoris muscle (QFM) edema.

This case demonstrates a patient presenting with an insidious, constant, non-specific hip pain in her lateral and posterior hip. The physical exam was negative for any reproducible pain. The patient later noted a slight catching sensation. On MRI, the patient was diagnosed with IFI after imaging demonstrated a narrowed ischiofemoral space of 11mm with associated QFM edema. She was treated conservatively with physical therapy and ultrasound-guided cortisone injection. Patient had a positive response with improvement in symptoms. This report adds to the growing literature of cases of surgically naïve IFI patients. This case illustrates the importance of utilizing MRI for further investigating uncertain and non-specific pain in the hip. It also adds to the increasing evidence for providers to consider IFI in their differentials of non-specific hip pain.

 Keywords: Ischiofemoral; Impingement; Quadratus Femoris

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Citation

Citation: Mitesh Patel., et al. “Ischiofemoral Impingement in a 64 Year Old – A Case Report".Acta Scientific Orthopaedics 7.11 (2024): 08-11.

Copyright

Copyright: © 2024 Mitesh Patel., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.