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Hip pain - a focus on the sporting population.

Peter Braun1, Steve Jensen

  • 1Australasian College of Sports Physicians, Australia.

Australian Family Physician
|June 15, 2007
PubMed
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Hip and groin pain present diagnostic challenges. This review details common causes like osteitis pubis and abductor tendinopathy, offering a clinical approach for effective management.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Musculoskeletal Radiology

Background:

  • Hip and groin pain are common complaints presenting diagnostic and therapeutic challenges in primary and specialist care.
  • Understanding the specific patterns of pain is crucial for accurate diagnosis and effective treatment planning.

Purpose of the Study:

  • To outline common patterns of groin and lateral hip pain.
  • To provide a targeted clinical approach for treatment or referral.

Main Methods:

  • Review of common causes of chronic groin pain including osteitis pubis, incipient hernia, adductor tendinopathy, and intrinsic hip pathology.
  • Identification of hip abductor muscle tendinopathy as a frequent cause of lateral hip pain.
  • Emphasis on the importance of careful history taking and targeted physical examination.

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Main Results:

  • Chronic groin pain can stem from osteitis pubis, hernia, adductor tendinopathy, or hip pathology.
  • Lateral hip pain is often caused by hip abductor tendinopathy.
  • Non-specific findings frequently complicate diagnosis and management.

Conclusions:

  • Effective management requires a thorough clinical assessment to differentiate between various causes of hip and groin pain.
  • Treatment strategies focus on relative rest, with consideration for active modalities.
  • Advancements in hip arthroscopy have improved understanding, diagnosis, and treatment of intrinsic hip pathology.