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Hip pain. Don't throw away the cane.

L P Brady1

  • 1Jewett Orthopaedic Clinic, Winter Park, FL 32789.

Postgraduate Medicine
|June 1, 1988
PubMed
Summary

Osteoarthritis and rheumatoid arthritis cause most hip pain. Accurate diagnosis relies on clinical examination, as lab tests are often unhelpful for hip conditions.

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Area of Science:

  • Orthopedics and Rheumatology
  • Diagnostic Medicine

Background:

  • Hip pain is a common ailment with osteoarthritis and rheumatoid arthritis accounting for 90% of diagnoses.
  • Differential diagnoses include fractures, synovitis, avascular necrosis, and conditions mimicking hip disease like nerve root pressure syndrome, trochanteric bursitis, and vascular insufficiency.

Purpose of the Study:

  • To highlight the primary causes of hip pain and emphasize diagnostic strategies.
  • To underscore the importance of clinical evaluation over laboratory studies for hip conditions.
  • To outline conservative treatment approaches and the necessity of second opinions for surgical consideration.

Main Methods:

  • Review of common hip pathologies and conditions that present with similar symptoms.
  • Emphasis on clinical examination and patient history for accurate diagnosis.
  • Discussion of conservative management and surgical decision-making protocols.

Main Results:

  • Osteoarthritis and rheumatoid arthritis are the leading causes of hip pain.
  • Clinical assessment is more valuable than laboratory tests in diagnosing hip conditions.
  • Mimicking conditions and concomitant pathologies require careful consideration during evaluation.

Conclusions:

  • Accurate diagnosis of hip pain relies heavily on thorough clinical examination and awareness of differential diagnoses.
  • Conservative treatment is recommended when feasible, with surgical intervention requiring careful consideration and multiple opinions.
  • Understanding both direct hip pathologies and mimicking conditions is crucial for effective patient management.

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