[1]张欲翔,卢军丽,赵建,等.成人坐骨股骨撞击综合征MRI表现与疼痛症状的相关性研究[J].中华老年骨科与康复电子杂志,2019,(06):322-326.[doi:10.3877/cma.j.issn.2096-0263.2019.06.004]
　Zhang Yuxiang,Lu Junli,Zhao Jian,et al.The relation of MRI appearance and pain symptom in ischiofemoral impingement syndrome of adults[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(06):322-326.[doi:10.3877/cma.j.issn.2096-0263.2019.06.004]
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成人坐骨股骨撞击综合征MRI表现与疼痛症状的相关性研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2019年06期
页码:
322-326
栏目:
关节
出版日期:
2019-12-05

文章信息/Info

Title:
The relation of MRI appearance and pain symptom in ischiofemoral impingement syndrome of adults
作者:
张欲翔1; 卢军丽2; 赵建3; 包超恩4; 张平3; 刘业伟1; 石宇1; 高宇1; 李卓异1
050011 石家庄，河北省中医院放射科1；050051 石家庄，河北医科大学第三医院放射科2，CT/MR室3，肿瘤科4
Author(s):
Zhang Yuxiang1;  Lu Junli2;  Zhao Jian3;  Bao Chaoen4;  Zhang Ping3;  Liu Yewei1;  Shi Yu1;  Gao Yu1;  Li Zhuo Yi1
1Department of Radiology, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050011, China; 2Department of Radiology, 3Department of CT/MR, 4Department of Oncology, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
关键词:
髋关节;  坐骨股骨撞击综合征;  水肿;  磁共振成像
Keywords:
Hip joint;  Ischiofemoral impingement syndrome;  Edema;  Magnetic resonance imaging
DOI:
10.3877/cma.j.issn.2096-0263.2019.06.004
文献标志码:
A
摘要:
目的 探讨坐骨股骨撞击综合征的临床疼痛症状与坐骨股骨间隙（IFS）、股方肌间隙（QFS）狭窄的程度及股方肌形态、水肿程度之间的相关性。方法 回顾性收集2016年1月至2017年12月河北医科大学第三医院确诊为坐骨股骨撞击综合征（IFI）且符合纳入标准的患者43例，共86个髋关节。其中女性37例（86%），男性6例（14%）。分别进行临床疼痛评分分级及MRI图像分析，IFS、QFS均在横轴位T1WI序列上进行测量，股方肌水肿分级的判定以及评分在横轴位T2WI序列上观察。结果 不同临床疼痛组间IFS间距均无显著差异（F=0.120，P＞0.05）；不同临床疼痛组间QFS间距均无显著差异（F=0.204，P＞0.05）。股方肌水肿评分分级与临床的疼痛程度有显著相关性（F=9.795，P＜0.05）。结论 女性坐骨股骨撞击综合征占比高于男性，坐骨股骨间隙及股方肌间隙的狭窄程度不能直接反应IFI临床疼痛症状，股方肌水肿程度与临床疼痛症状程度有较密切的相关性。
Abstract:
Objective To investigate the correlation between pain symptoms of ischiofemoral impingement syndrome (IFI) and the stenosis degree of ischiofemoral space (IFS), quadratus femoris space(QFS) and the dysfunction of quadratus femoris. Methods Forty-three participants (F/M=37/6) diagnosed as IFI and meeting the set standards were included, from January 2016 to December 2017 in the third hospital of Hebei Medical University. The pain score and MRI of 86 hip joints were analysed. The width of IFS and QFS were measured on axial T1WI and the edema degree of quadratus femoris was evaluated on axial T2WI. Results The difference of IFS and QFS between different pain groups were not significant (F=0.120, P>0.05; F=0.204, P>0.05). However, There was a significant correlation between quadratus femoris edema and hip pain degree (F=9.795, P<0.05). Conclusion The proportion of female was significantly higher than that of male in IFI. The stenosis of IFS and QFS could not elucidate clinical symptoms. However, the edema degree of QFS was related to the pain severity .

参考文献/References:

1 Johnson KA. Impingement of the lesser trochanter on the ischial ramus after tota hip arthroplasty [J]: report of three cases. J Bone Joint Surg Am, 1997, 59:268-269.
2 Torriani M, Souto SC, Thomas BJ, et al. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle [J]. AJR Am J Roentgenol, 2009, 193(1): 186-190.
3 Beckmann J T, Safran M R, Abrams G D. Extra-articular impingement: ischiofemoral impingement and trochanteric-pelvic[J]. Oper Tech Sports Med, 2015, 23:184-189.
4 Tosun O, Algin O, Yalcin N, et al. Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability [J]. Skeletal Radiol, 2012, 41(5): 575-587.
5 闫松, 李桂萍, 王胜林. MRI对坐骨股骨撞击综合征的影像学研究 [J]. 临床放射性杂志, 2017, 36(7): 1007-1011.
6 Anderson SE, Siebenrock KA, Tannast M. Femoroacetabular impingement: evidence of an established hip abnormality [J]. Radiology, 2010, 257(1): 8-13.
7 Bredella M A, Stoller D W. MR imaging of femoroacetabular impingement[J]. Magn Reson Imaging Clin N Am, 2005, 13(4): 653-664.
8 Ali AM, Whitwell D, Ostlere SJ. Case report: imaging and surgical treatment of a snapping hip due to ischiofemoral impingement [J]. Skeletal Radiol, 2011, 40(5): 653-656.
9 O’Brien S D, Bui-Mansfield L T. MRI of quadratus femoris muscle tear: another cause of hip pain[J]. AJR Am J Roentgenol, 2007, 189(5): 1185-1189.
10 Özdemir Z M, Ayd?ngöz Ü, Görmeli C A, et al. Ischiofemoral space on MRI in an asymptomatic population: normative width measurements and soft tissue signal variations[J]. Eur Radiol, 2015, 25(8): 2246-2253.

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备注/Memo

备注/Memo:
基金项目：河北省科技厅科技支撑项目（17277732D）
更新日期/Last Update: 2019-12-11