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Gluteal-related lateral hip pain
Marie Bagger Bohn1, Bent Lund, Kasper Spoorendonk
1mabohn@rm.dk.
Danish Medical Journal
|October 27, 2021
Summary
Patients with hip abductor tendon pathology experience significant pain and poor outcomes, similar to severe hip osteoarthritis. Further research is needed for this underdiagnosed group.
Area of Science:
- Orthopedics
- Musculoskeletal Disorders
- Radiology
Background:
- Lateral hip pain (LHP) from gluteal tendon pathology is often misdiagnosed, leading to disability.
- Accurate diagnosis and outcome assessment are crucial for effective management.
Purpose of the Study:
- To evaluate pain and patient-reported outcomes in individuals with LHP.
- To assess outcomes within a publicly funded healthcare system.
Main Methods:
- Clinical and MRI-verified hip abductor tendon pathology.
- Data collected from 2017-2020 at a regional teaching hospital.
- Utilized Numerical Rating Scale (NRS) for pain, and HAGOS, OHS, EQ-VAS for outcomes.
Main Results:
- 151 patients (94% female, median age 55) included.
- Mean pain scores: rest 4, activity 7, worst 9 (NRS).
- Poor outcomes reported across HAGOS, OHS, and EQ-VAS, comparable to severe hip osteoarthritis.
Conclusions:
- Hip abductor tendon pathology significantly impacts quality of life and function.
- Outcomes are comparable to severe hip osteoarthritis, highlighting the need for recognition.
- Results reflect a heterogeneous population; further research is warranted.
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