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Case report: Multimodal imaging findings in ischiofemoral impingement syndrome mimicking breast carcinoma metastases (pp. 337-342) $45.00
Authors:  Thien J Huynh, Catherine Lang, Alicia Cheong, Joel D Rubenstein, Monique Christakis, Andrea Eisen, Edward Chow, and Linda Probyn
Abstract:
Ischiofemoral impingement can often be overlooked as a cause of hip pain. It is characterized by an abnormal signal within the quadratus femoris muscle that is associated with the narrowing of the ischiofemoral space on magnetic resonance imaging (MRI). While dedicated MRI in the appropriate clinical context is ideal for establishing the diagnosis, this is not always the first diagnostic test performed for the work-up of patients with bone or joint pain in the setting of a known primary malignancy. Multimodal imaging findings, particularly on computed tomography, may provide the opportunity for both clinicians and radiologists to suggest this diagnosis earlier if they are aware of the associated imaging features. We present a case of bilateral ischiofemoral impingement syndrome in a 55-year-old female patient with history of breast cancer and non-traumatic right hip pain who underwent metastatic imaging work-up including bone scan, radiography, CT, and MRI. The patient was treated successfully with conservative therapy following the diagnosis of ischiofemoral impingement. 


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Case report: Multimodal imaging findings in ischiofemoral impingement syndrome mimicking breast carcinoma metastases (pp. 337-342)