The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers

Ischiofemoral impingement (IFI) is a significant but often underdiagnosed source of deep posterior hip pain and functional impairment, frequently associated with narrowing of the ischiofemoral space (IFS) between the ischial tuberosity and the lesser trochanter of the femur. Traditionally, diagnosti...

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Main Authors: Robert C. Manske, Chris Wolfe, Phil Page, Michael Voight, Beth Bardowski
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-11-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.125000
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author Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Beth Bardowski
author_facet Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Beth Bardowski
author_sort Robert C. Manske
collection DOAJ
description Ischiofemoral impingement (IFI) is a significant but often underdiagnosed source of deep posterior hip pain and functional impairment, frequently associated with narrowing of the ischiofemoral space (IFS) between the ischial tuberosity and the lesser trochanter of the femur. Traditionally, diagnostic approaches for IFI have relied on clinical examination and magnetic resonance imaging (MRI). However, the advent of diagnostic musculoskeletal ultrasound (MSKUS) has transformed the evaluation process. MSKUS offers a non-invasive, cost-effective, and dynamic method for assessing the IFS and associated musculature in real time, allowing for high-resolution visualization of soft tissues, bones, and neurovascular structures. For rehabilitation providers, understanding the application, strengths, and limitations of MSKUS can enhance diagnostic accuracy, guide targeted therapeutic interventions, and potentially expedite recovery. This article reviews the anatomy of the IFS, the pathophysiology of IFI, and the use of MSKUS in diagnosing IFI, equipping rehabilitation professionals with the knowledge to integrate this valuable diagnostic tool into clinical practice.
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spelling doaj-art-1da56dacedf048d1874baa47538ddcca2025-02-11T20:26:58ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-11-011911The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation ProvidersRobert C. ManskeChris WolfePhil PageMichael VoightBeth BardowskiIschiofemoral impingement (IFI) is a significant but often underdiagnosed source of deep posterior hip pain and functional impairment, frequently associated with narrowing of the ischiofemoral space (IFS) between the ischial tuberosity and the lesser trochanter of the femur. Traditionally, diagnostic approaches for IFI have relied on clinical examination and magnetic resonance imaging (MRI). However, the advent of diagnostic musculoskeletal ultrasound (MSKUS) has transformed the evaluation process. MSKUS offers a non-invasive, cost-effective, and dynamic method for assessing the IFS and associated musculature in real time, allowing for high-resolution visualization of soft tissues, bones, and neurovascular structures. For rehabilitation providers, understanding the application, strengths, and limitations of MSKUS can enhance diagnostic accuracy, guide targeted therapeutic interventions, and potentially expedite recovery. This article reviews the anatomy of the IFS, the pathophysiology of IFI, and the use of MSKUS in diagnosing IFI, equipping rehabilitation professionals with the knowledge to integrate this valuable diagnostic tool into clinical practice.https://doi.org/10.26603/001c.125000
spellingShingle Robert C. Manske
Chris Wolfe
Phil Page
Michael Voight
Beth Bardowski
The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers
International Journal of Sports Physical Therapy
title The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers
title_full The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers
title_fullStr The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers
title_full_unstemmed The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers
title_short The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation for Ischiofemoral Impingement: A Perspective for Rehabilitation Providers
title_sort utilization of diagnostic musculoskeletal ultrasound in the evaluation for ischiofemoral impingement a perspective for rehabilitation providers
url https://doi.org/10.26603/001c.125000
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