Abstract Archives of the RSNA, 2014
MKE233
Evaluation and Management of Ischiofemoral Impingement: A Radiologic and Therapeutic Approach to a Complex Diagnosis
Education Exhibits
Presented on November 30, 2014
Presented as part of MKS-SUA: Musculoskeletal Sunday Poster Discussions
Cum Laude
Moises Hernando MD, Presenter: Nothing to Disclose
Luis Cerezal MD, Abstract Co-Author: Nothing to Disclose
Luis Perez Carro, Abstract Co-Author: Nothing to Disclose
Lourdes Guillen Vargas MD, Abstract Co-Author: Nothing to Disclose
Rosa Dominguez-Oronoz MD, Abstract Co-Author: Nothing to Disclose
Ana Canga MD, Abstract Co-Author: Nothing to Disclose
Faustino Abascal, Abstract Co-Author: Nothing to Disclose
Raquel Prada MD, Abstract Co-Author: Nothing to Disclose
Maria Gonzalez Vazquez, Abstract Co-Author: Nothing to Disclose
Maria Costas Alvarez, Abstract Co-Author: Nothing to Disclose
To describe in detail the anatomy of the ischiofemoral space.
To assess the pathophysiological mechanisms and develop an understandable classification, particularly focusing on its etiology, predisposing factors and musculoskeletal associated abnormalities.
To assess the role of radiologist in the diagnosis, treatment and postoperative evaluation in the ischiofemoral impingement, both primary and secondary
1.Anatomy
2.Clinical examination test and symptoms
3.Staging. Classification:
Etiological: primary (orthopedic disorders) and secondary (traumatic, iatrogenic, tumor, pelvic instability, abnormal sagittal balance of the spine, imbalance abductors/adductors and hip dysplasia)
Clinical: acute, chronic, transient/recurrent
By location (anterior, lateral)
4.Imaging Findings:
Quantitative measurements
Bone, muscle, tendon (typical and atypical), nerve, adipose tissue and bursae abnormalities
Lower limbs, femoral, spine and pelvimetric measurements (radiography, telemetry, fluoroscopy, CT, MRI)
5.MRI protocol. Significance of hip position: external rotation
6.Injection test: diagnostic and therapeutic
7.Diagnostic and therapeutic algorithm
8.Treatment: Endoscopic decompression of ischiofemoral space via deep gluteal space. Postoperative findings
http://abstract.rsna.org/uploads/2014/14014096/14014096_3bv2.pdf
Hernando, M,
Cerezal, L,
Carro, L,
Guillen Vargas, L,
Dominguez-Oronoz, R,
Canga, A,
Abascal, F,
Prada, R,
Gonzalez Vazquez, M,
Alvarez, M,
Evaluation and Management of Ischiofemoral Impingement: A Radiologic and Therapeutic Approach to a Complex Diagnosis. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14014096.html