Ischiofemoral impingement: diagnostic and treatment review of literature, case report

Valdemar Loiba1, Mantas Andzelis2, Airidas Dautorius2

1Lithuanian University of Health Sciences, Department of Orthopedic Traumatology,

2 Lithuanian University of Health Sciences, Faculty of Medicine,


Ischiofemoral impingement – rare pathology in which ischiofemoral space is decreased. Syndrome manifestates with pain in  hip and buttocks, snapping sensation also is common. This pathology more often occurs in older women. Causes of ischiofemoral impingement are not clear, but studies show that it is associated with hip trauma, surgery and disbalance of hip muscles. For ischiofemoral impingement diagnosis clinical assessment and provocative tests, roentgenogram and MRI of thigh should be done. After diagnosis is confirmed conservative treatment is prescribed. If it fails open surgery of thigh or more advanced endoscopic treatment should be considered.

Keywords: ischiofemoral impingement, lesser trochanter, ischial tuberosity, iliopsoas muscle.


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