Evidence map›Paper›PMID 37840102›Full record

ArticleInsights into imaging2023

Hip MRI in flexion abduction external rotation for assessment of the ischiofemoral interval in patients with hip pain-a feasibility study.

Alexander F Heimann, Jonas Walther, Moritz Tannast, Joseph M Schwab, Moritz Wagner, Alexander Brunner, Till D Lerch, Simon D Steppacher, Peter Vavron, Ehrenfried Schmaranzer and 1 more

Open access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. What the papers say.Journal of hip preservation surgery · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Alexander F HeimannDepartment of Orthopaedic Surgery, HFR - Cantonal Hospital, University of Fribourg, Chemin des pensionnats 2 - 6, CH-1700, Fribourg, Switzerland. alexander.heimann@unifr.ch.ORCID http://orcid.org/0000-0001-6578-5759
Jonas WaltherDepartment of Orthopaedic Surgery, Inselspital Bern, University Hospital, University of Bern, Freiburgstrasse 18, Bern, CH-3010, Switzerland.
Moritz TannastDepartment of Orthopaedic Surgery, HFR - Cantonal Hospital, University of Fribourg, Chemin des pensionnats 2 - 6, CH-1700, Fribourg, Switzerland.
Joseph M SchwabDepartment of Orthopaedic Surgery, HFR - Cantonal Hospital, University of Fribourg, Chemin des pensionnats 2 - 6, CH-1700, Fribourg, Switzerland.
Moritz WagnerDepartment of Orthopaedic Surgery, District Hospital St. Johann in Tirol, Bahnhofstraße 14, 6380, St. Johann in Tirol, Austria.
Alexander BrunnerDepartment of Orthopaedic Surgery, District Hospital St. Johann in Tirol, Bahnhofstraße 14, 6380, St. Johann in Tirol, Austria.
Till D LerchDepartment of Diagnostic-, Interventional- and Pediatric Radiology, Inselspital Bern, University Hospital, University of Bern, Freiburgstrasse 18, Bern, CH-3010, Switzerland.
Simon D SteppacherDepartment of Orthopaedic Surgery, Inselspital Bern, University Hospital, University of Bern, Freiburgstrasse 18, Bern, CH-3010, Switzerland.
Peter VavronDepartment of Orthopaedic Surgery, District Hospital St. Johann in Tirol, Bahnhofstraße 14, 6380, St. Johann in Tirol, Austria.
Ehrenfried SchmaranzerDepartment of Radiology, District Hospital St. Johann in Tirol, Bahnhofstraße 14, St. Johann in Tirol, 6380, Austria.
Florian SchmaranzerDepartment of Diagnostic-, Interventional- and Pediatric Radiology, Inselspital Bern, University Hospital, University of Bern, Freiburgstrasse 18, Bern, CH-3010, Switzerland.
University of Bern · CHUniversity of Fribourg · CHTirol Kliniken · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the feasibility of flexion-abduction-external rotation (FABER) magnetic resonance imaging (MRI) of the hip to visualize changes in the ischiofemoral interval and ability to provoke foveal excursion over the acetabular rim.

methodsIRB-approved retrospective single-center study. Patients underwent non-contrast 1.5-T hip MRI in the neutral and FABER position. Two readers measured the ischiofemoral interval at three levels: proximal/distal intertrochanteric distance and ischiofemoral space. Subgroup analysis was performed for hips with/without high femoral torsion, or quadratus femoris muscle edema (QFME), respectively. A receiver operating curve with calculation of the area under the curve (AUC) for the prediction of QFME was calculated. The presence of foveal excursion in both positions was assessed.

resultsOne hundred ten patients (121 hips, mean age 34 ± 11 years, 67 females) were evaluated. FABER-MRI led to narrowing (both p < .001) of the ischiofemoral interval which decreased more at the proximal (mean decrease by 26 ± 7 mm) than at the distal (6 ± 7 mm) intertrochanteric ridge. With high femoral torsion/ QFME, the ischiofemoral interval was significantly narrower at all three measurement locations compared to normal torsion/no QFME (p < .05). Accuracy for predicting QFME was high with an AUC of .89 (95% CI .82-.94) using a threshold of ≤ 7 mm for the proximal intertrochanteric distance. With FABER-MRI foveal excursion was more frequent in hips with QFME (63% vs 25%; p = .021).

conclusionHip MRI in the FABER position is feasible, visualizes narrowing of the ischiofemoral interval, and can provoke foveal excursion. CRITICAL RELEVANCE STATEMENT: FABER MRI may be helpful in diagnosing ischiofemoral impingement and detecting concomitant hip instability by overcoming shortcomings of static MR protocols that do not allow visualization of dynamic changes in the ischiofemoral interval and thus may improve surgical decision making. KEY POINTS: • FABER MRI enables visualization of narrowing of the ischiofemoral interval proximal to the lesser trochanter. • Proximal intertrochanteric distance of ≤ 7 mm accurately predicts quadratus femoris muscle edema. • Foveal excursion was more frequent in hips with quadratus femoris muscle edema.

Indexed as

Femoroacetabular impingementHipHip arthroscopyIschiofemoral impingementMagnetic resonance imaging

Identifiers

PMID37840102
PMCPMC10577115
OpenAlexW4387652728

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.