Bilaterales ischiofemorales Impingement: ein Fallbericht

Zusammenfassung

Das ischiofemorale Impingement (IFI) ist ein seltenes Krankheitsbild und wurde 1977 erstmalig beschrieben. Während es posttraumatisch bedingt sein kann, kommt es auch idiopathisch vor. Wir berichten über einen Fall einer 22-jährigen Patientin mit IFI, welche nach offener Trochanter-minor-Resektion zunächst für 8 Monate beschwerdefrei war. Anschließend kam es zu äquivalenten Symptomen auf der Gegenseite. Erst eine erneute operative Intervention führte schließlich zur Schmerzfreiheit. Anhand dieses Fallberichts sollen klinische, diagnostische und therapeutische Besonderheiten des IFI diskutiert werden.

Abstract

Ischiofemoral impingement (IFI) is a rare cause of hip pain and was first described in 1977. While it can be related to trauma, it may also be idiopathic. We report a case of IFI in a 22-year old female, who was successfully treated by resection of the lesser trochanter. However, 8 months later, symptoms recurred on the contralateral side. Surgical intervention was required to alleviate the patientʼs symptoms. This case report discusses the clinical, diagnostic and therapeutic features of IFI.

Schlüsselwörter

Coxa saltans - schnappende Hüfte - ischiofemorales Impingement - M. quadratus femoris - Trochanterresektion

Key words

Coxa saltans - snapping hip syndrome - ischiofemoral impingement - quadratus femoris muscle - trochanter resection

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