Anatomic Footprint of the Direct Head of the Rectus Femoris Origin: Cadaveric Study and Clinical Series of Hips After Arthroscopic Anterior Inferior Iliac Spine/Subspine Decompression

Hapa, Onur; Bedi, Asheesh; Gürsan, Onur; Akar, Mehmet Sait; Güvençer, Mustafa; Havıtçıoğlu, Hasan; Larson, Christopher M.

doi:10.1016/j.arthro.2013.08.023

Cited by 95 publications

(111 citation statements)

References 20 publications

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“…Surgical decompression has been proven effective and safe in recent studies with several case reports specifically documenting resolution of symptoms, significantly improved range of motion ([20°), and ability to return to sports in nearly all postoperative athletes [58,59,62,63]. Because surgical decompression can be curative, it is important to consider this impingement syndrome in athletes with hip pain, including those with other abnormalities such as FAI.…”

Section: Femoral Antetorsionmentioning

confidence: 99%

MRI of the Hip: Important Injuries of the Adult Athlete

et al. 2014

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Hip pain is a common problem in adult athletes and may be caused by a wide range of acute and chronic injuries, many of which lead to prolonged time away from sport. This article highlights the magnetic resonance imaging (MRI) findings of important hip injuries in adult athletes, including select osseous, impingement, intraarticular, and musculotendinous injuries. The most commonly affected athletes, clinical presentation, and MRI findings of each injury are reviewed with corresponding clinical pearls from the orthopedist's perspective.

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Section: Femoral Antetorsionmentioning

confidence: 99%

MRI of the Hip: Important Injuries of the Adult Athlete

et al. 2014

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“…A concomitant arthroscopic procedure is sometimes conducted to address any intra-articular pathology as well [23]. Arthroscopic resection of an impinging AIIS has also been reported by some experienced hip arthroscopists [21,23,25,27], and studies have shown good short-term outcomes up to two years follow-up for a return to sporting activity, increased ROM, Harris hip score and visual analogue scale [21,23,27]. To date, post-surgical rehabilitation has not been objectively studied and its role in the post-operative period is poorly detailed in the literature [18], while two to four weeks of protected weight bearing with crutches and ROM exercises until basic muscle strength is regained are recommended [28].…”

Section: Managementmentioning

confidence: 99%

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

Nakano

Yip

Khanduja

2017

International Orthopaedics (SICOT)

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Purpose Extra-articular hip impingement syndromes encompass a group of conditions that have previously been an unrecognised source of pain in the hip and on occasion been associated with intra-articular hip impingement as well. As arthroscopic techniques for the hip continue to evolve, the importance of these conditions has been recognised recently and now form an important part of the differential of an individual presenting with hip pain. The aim of this article, therefore, is to provide the reader with an evidence-based and comprehensive update of these syndromes. Methods By reviewing past literature, the anatomy, pathophysiology, clinical features and the management of the five common extra-articular hip impingement syndromes were described. Results The common extra-articular impingement syndromes are: 1) Ischiofemoral impingement: quadratus femoris muscle becomes compressed between the lesser trochanter and the ischial tuberosity. 2) Subspine impingement: mechanical conflict occurs between an enlarged or malorientated anterior inferior iliac spine and the distal anterior femoral neck. 3) Iliopsoas impingement: mechanical conflict occurs between the iliopsoas muscle and the labrum, resulting in distinct anterior labral pathology. 4) Deep gluteal syndrome: pain occurs in the buttock due to the entrapment of the sciatic nerve in the deep gluteal space. 5) Pectineofoveal impingement: pain occurs when the medial synovial fold impinges against overlying soft tissue, primarily the zona orbicularis. Knowledge for these syndromes still remains limited for reasons mostly relating to their low prevalence and their co-existence with typical femoro-acetabular impingement. Conclusions The knowledge of extra-articular hip impingement syndromes is essential and should form a part of the differential diagnoses alongside intra-articular pathology including femoro-acetabular impingement particularly in the younger patient with a non-arthritic hip.

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“…Currently of interest are extra-articular sources of FAI, which may cause a small proportion of FAI cases and are exemplified by trochanteric-pelvic, ischiofemoral and subspine impingement (Pan et al, 2011;Hapa et al, 2013;de Sa et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

A new Morphological Classification of the Anterior Inferior Iliac Spine: Relevance in Subspine Hip Impingement

et al. 2015

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MORALES-AVALOSSUMMARY: Femoroacetabular impingement syndrome (FAI) is a clinical entity that has been recognized in recent years as a frequent cause of pain and the early development of hip arthrosis. Subspine hip impingement is characterized by the prominent or abnormal morphology of the anteroinferior iliac spine (AIIS), which contributes to the development of a clinical picture that is similar to FAI. The aims of this study were to propose a new morphological classification of the AIIS, to determine the prevalence of the different AIIS morphologies based on this classification and to correlate the presence of said morphologies with different gender and age groups. The sample consisted of 458 hemipelvises from individuals of known age and sex (264 men and 194 women). Each specimen was analyzed to determine the prevalence of each of the different morphologies of the AIIS based on the classification proposed as Type 1: the presence of a concave surface between the AIIS and the acetabular rim; Type 2A: the presence of a flat surface between the AIIS and the acetabular rim; Type 2B the presence of a convex surface between the AIIS and the acetabular rim; and Type 3: the AIIS protrudes inferiorly toward the anterior acetabulum. A prevalence of 69.87% was determined for Type 1 AIIS (320/458). In regard to abnormal morphology, prevalences of 17.90% (82/458), 3.71% (17/458) and 8.52% (39/458) were determined for type 2A, Type 2B and Type 3, respectively. The prevalence of abnormal AIIS morphology was 30.30% (80/264) in male specimens and 29.90% (58/194) in female specimens. This study demonstrates the prevalence of the different morphologies of the AIIS, providing information that will be useful in determining the role of the AIIS in the emergence of subspine hip impingement.

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Anatomic Footprint of the Direct Head of the Rectus Femoris Origin: Cadaveric Study and Clinical Series of Hips After Arthroscopic Anterior Inferior Iliac Spine/Subspine Decompression

Cited by 95 publications

References 20 publications

MRI of the Hip: Important Injuries of the Adult Athlete

MRI of the Hip: Important Injuries of the Adult Athlete

Current concepts in the diagnosis and management of extra-articular hip impingement syndromes

A new Morphological Classification of the Anterior Inferior Iliac Spine: Relevance in Subspine Hip Impingement

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