Related Experiment Videos
[Bone diseases of the hip]
1Fédération de rhumatologie Centre Viggo-Petersen Hôpital Lariboisière 75475 Paris. philippe.orcel@lrb.ap-hop-paris.fr
La Revue Du Praticien
|May 11, 2002
Summary
Hip pain often indicates local bone disease if the hip joint is normal on examination. Diagnosis can be challenging, with several conditions mimicking other bone disorders.
Area of Science:
- Orthopedics
- Radiology
- Bone Diseases
Context:
- Hip pain can be a complex symptom with diverse underlying causes.
- Physical examination of the hip joint may appear normal despite significant bone pathology.
- Differentiating between various bone diseases causing hip pain requires careful clinical evaluation.
Purpose:
- To outline the diagnostic considerations for hip pain when the hip joint itself is painless and mobile.
- To differentiate common and less common bone diseases presenting as hip pain.
- To highlight challenging diagnostic scenarios in hip pain evaluation.
Summary:
- When physical examination reveals a painless hip joint with normal mobility, hip pain is often linked to local or regional bone disease.
- While straightforward in cases of known osteoporosis, Paget's disease, malignancy, or pregnancy, diagnosis can be difficult.
- Key differential diagnoses include transient osteoporosis of the hip, bone fissures, Paget's disease of the hip (coxopathy), tumoral osteolysis, and femoral head osteonecrosis.
Impact:
- Facilitates accurate diagnosis of hip pain by differentiating between various bone pathologies.
- Aids clinicians in identifying challenging cases that require further investigation beyond initial physical assessment.
- Improves patient management by directing appropriate diagnostic and therapeutic strategies for bone-related hip pain.