Domínguez-Gasca LG, Alcocer-Maldonado JL, Magaña-Reyes J, Domínguez-Carrillo LG

Language: Spanish
References: 6
Page: 264-266
PDF size: 223.76 Kb.

ABSTRACT

Background: Quadratus femoris tear is an uncommon injury that usually cause hip pain, it incidence is unknown. The patient can suffer of posterior gluteal pain or groin pain or both, which makes accurate diagnosis difficult, because the differential diagnosis of hip pain is broad. Clinical case: A 65 years old male, with gluteal and groin pain presented during tennis; evaluated by neurologist with lumbosacral magnetic resonance imaging (MRI) (normal) and referred to physical therapy, a pelvic MRI was required, finding an unsuspected quadratus femoris tear. Conclusion: MRI with its superior soft-tissue resolution and multiplanar capability is an excellent adjunct to physical examination because it shows the anatomic location of the abnormality, aiding the clinician to make unsuspected diagnoses.

REFERENCES

1. Kassarjian A, Tomas X, Cerezal L, Canga A, Llopis E: MRI of the quadratus femoris muscle: anatomic considerations and pathologic lesions. AJR Am J Roentgenol. 2011; 197(1): 170-4.

2. O’Brien SD, Bui-Mansfield LT: MRI of quadratus femoris muscle tear: another cause of hip pain. AJR Am J Roentgenol. 2007; 189(5): 1185-9.

3. Tosun O, Algin O, Yalcin N, Cay N, Ocakoglu G, Karaoglanoglu M: Ischiofemoral impingement: evaluation with new MRI parameters and assessment of their reliability. Skeletal Radiol. 2012; 41(5): 575-87.

4. Bano A, Karantanas A, Pasku D, Datseris G, Tzanakakis G, Katonis P: Persistent sciatica induced by quadratus femoris muscle tear and treated by surgical decompression: a case report. J Med Case Rep. 2010; 4: 236. doi: 10.1186/1752-1947-4-236.

5. Johnson KA: Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases. J Bone Joint Surg Am. 1977; 59(2): 268-9.

6. Patti JW, Ouellette H, Bredella MA, Torriani M: Impingement of lesser trochanter on ischium as a potential cause for hip pain. Skeletal Radiol. 2008; 37(10): 939-41.