Hip pain: Difference between revisions
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==Background== | ==Background== | ||
{{Hip anatomy background images}} | {{Hip anatomy background images}} | ||
[[File:1122 Gluteal Muscles that Move the Femur a.png|thumb|Gluteal muscles that move the femur (anterior view).]] | |||
*Hip pathology is commonly referred to the buttocks, thigh, groin, and knee | *Hip pathology is commonly referred to the buttocks, thigh, groin, and knee | ||
*[[AAA]] rupture may manifest as hip pain | *[[AAA]] rupture may manifest as hip pain | ||
Revision as of 20:32, 26 February 2025
This page is for adult patients. For pediatric patients, see: hip pain (peds)
Background
- Hip pathology is commonly referred to the buttocks, thigh, groin, and knee
- AAA rupture may manifest as hip pain
Clinical Features
- Hip pain
Differential Diagnosis
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Evaluation
Workup
- Consider hip x-ray
- If negative and patient is unable to ambulate, typically requires MRI to rule-out occult fracture
- Consider CBC/C7/Coags