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Groin Pain - Ischiofemoral Impingement
Groin pain is a common complaint with many conditions of the hip, particularly in hockey players. It tends to go hand in hand with hip impingement (FAI). A lesser known condition that can cause it is called ischiofemoral impingement (IFI). This means there is a decrease in space between the femur and pelvis, and a small muscle of the hip socket (quadratus femoris) gets compressed.
Quadratus Femoris and Hip Impingement (FAI)
The quadratus femoris is a small rectangular muscle, deep in the hip socket. It is an external rotator and adductor of the hip. Although uncommon, tears and strains of this muscle can cause pain in the groin, posterior hip, and even cause radiating pain from irritation of the sciatic nerve.
SI Joint Pain and Hip Impingement (FAI)
Hip impingement, or femoroacetabular impingement, is pain in the front of the hip that occurs with hip flexion and internal rotation. Sometimes, patients with FAI also get pain in the back side. The sacroiliac joint (SI) is usually the culprit.