Transcription of Diagnostic Approach to Hip Pain - University of Michigan
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Diagnostic Approach to Hip Pain - University of Michigan
Diagnostic Approachto Hip PainZo J. Foster, MDOctober 3, 2018 DisclosuresI have nothing to Review examination of the hip, including special tests Discuss differential diagnosis for hip pain Consider special diagnoses not to be missedAnatomyImages from: SonosimCase 1: Anterior hip pain 15yo track athlete with worsening R groin pain tripped and fell in her yard a year ago, now with pain x 6 monthsdull constant achy pain, 4-5/10radiation to anterior thighhard to get comfortable at nighthard to go up and down stairs one at a timecan t run due to painbetter with ibuprofenno history of hip problems priorDifferential Diagnosis for Hip PainINTRA-ARTICULAR CAUSESEXTRA-ARTICULAR CAUSESL abral tearAdhesive capsulitisLoose bodies (including OCD lesions)Snapping hip (internal or external)Femoroacetabularimpingement (FAI)Greater trochantericpain syndromeSynovitisPiriformis syndromeTearsof ligamentumteresOstetispubisChondral injurySportsherniaAvascular necrosisMyotendinousinjuriesAvulsion injuries (ASIS,etc)Stress fracturesNerve compression syndromesFrom: Poultsides, L.
Labral tear Adhesive capsulitis Loose bodies (including OCD lesions) Snapping hip (internal or external) Femoroacetabular impingement (FAI) Greater trochanteric pain syndrome Synovitis Piriformis syndrome Tears of ligamentum teres Ostetis pubis Chondral injury Sports hernia Avascular necrosis Myotendinous injuries Avulsion injuries (ASIS, etc)
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