腹股沟疼痛的一个被忽视的原因:股骨峡部撞击综合征

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Cemre Ozenbas, Duygu Engin, Tayfun Altinok
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引用次数: 0

摘要

背景:股骨撞击综合征(IFI)是一种以坐骨与股骨之间空间狭窄为特征的疾病,可能压迫股方肌。虽然与髋关节疼痛有关,但其在腹股沟疼痛中的作用尚未得到充分研究。目的探讨IFI与腹股沟疼痛的关系,探讨股方肌水肿与坐骨股骨间隙(IFS)和股方肌间隙(QFS)测量的关系。方法回顾性分析2024年1月至9月行盆腔MRI检查的284例患者568髋。患者根据腹股沟疼痛程度分组。在t1加权轴向MRI图像上测量IFS和QFS,在t2加权脂肪抑制轴向图像上评估股方肌水肿。统计分析采用独立样本t检验、Pearson卡方检验和ROC分析,显著性设为p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An overlooked cause of groin pain: Ischiofemoral impingement syndrome.

BackgroundIschiofemoral impingement syndrome (IFI) is a condition characterized by narrowing of the space between the ischium and femur, potentially compressing the quadratus femoris muscle. Although associated with hip pain, its role in groin pain is underexplored.ObjectiveTo assess the relationship between IFI and groin pain and examine the association between quadratus femoris muscle edema and ischiofemoral space (IFS) and quadratus femoris space (QFS) measurements.MethodsA retrospective study was performed on 568 hips from 284 patients who underwent pelvic MRI between January and September 2024. Patients were grouped based on groin pain. IFS and QFS were measured on T1-weighted axial MRI images, and quadratus femoris muscle edema was evaluated on T2-weighted fat-suppressed axial images. Statistical analysis included the Independent Samples t-test, Pearson Chi-square test, and ROC analysis, with significance set at p < 0.005.ResultsGroin pain was present in 23 of 568 hips (4%), with quadratus femoris muscle edema detected in 19 of these cases (82.6%, p < 0.001). Quadratus femoris edema was found in 116 of the 568 hips (20.4%). IFS and QFS measurements were significantly lower in patients with quadratus femoris edema. ROC analysis revealed an IFS cut-off of 16 mm (86.5% sensitivity, 80.3% specificity) and a QFS cut-off of 9.5 mm (92% sensitivity, 93.2% specificity).ConclusionsIFI should be considered in the differential diagnosis of unexplained groin pain, as smaller IFS and QFS are linked to quadratus femoris muscle edema.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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