Show simple item record

dc.contributor.authorNakano, Nen
dc.contributor.authorYip, Gen
dc.contributor.authorKhanduja, Vikasen
dc.date.accessioned2017-05-04T12:04:10Z
dc.date.available2017-05-04T12:04:10Z
dc.date.issued2017-04-11en
dc.identifier.issn0341-2695
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/264027
dc.description.abstractPurpose 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.
dc.languageengen
dc.language.isoenen
dc.publisherSpringer
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectarthroscopyen
dc.subjectdeep gluteal syndromeen
dc.subjectextra-articular impingementen
dc.subjecthip painen
dc.subjectiliopsoas impingementen
dc.subjectischiofemoral impingementen
dc.subjectpectineofoveal impingementen
dc.subjectsubspine impingementen
dc.titleCurrent concepts in the diagnosis and management of extra-articular hip impingement syndromesen
dc.typeArticle
prism.publicationDate2017en
prism.publicationNameInternational Orthopaedicsen
dc.identifier.doi10.17863/CAM.9387
dcterms.dateAccepted2017-02-13en
rioxxterms.versionofrecord10.1007/s00264-017-3431-4en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2017-04-11en
dc.contributor.orcidKhanduja, Vikas [0000-0001-9454-3978]
dc.identifier.eissn1432-5195
rioxxterms.typeJournal Article/Reviewen


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International