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Treatment Options for Hip Pain - Rush University Medical Center

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Causes of <strong>Hip</strong><br />

or Groin <strong>Pain</strong><br />

Burnett, Clohisy<br />

et al. JBJS 2006<br />

•Average time<br />

from injury to<br />

accurate<br />

diagnosis 21<br />

months<br />

•Average of 3.3<br />

providers seen<br />

be<strong>for</strong>e definitive<br />

treatment<br />

� Anterior <strong>Hip</strong> <strong>Pain</strong><br />

� Muscle strains<br />

� Contusion (hip pointer)<br />

� Avulsions and apophyseal injuries<br />

� <strong>Hip</strong> dislocation/subluxation<br />

� Acetabular labral tears and loose bodies<br />

� Proximal femur fractures<br />

� Osteitis pubis<br />

� Iliopsoas bursitis<br />

� Stress syndrome<br />

� SCFE<br />

� Perthes disease<br />

� Developmental dysplasia<br />

� Osteoarthritis<br />

� Inflammatory Arthritis<br />

� Avascular Necrosis<br />

� Femoro-acetabular Impingement<br />

� Lateral <strong>Hip</strong> <strong>Pain</strong>:<br />

� Greater trochanteric bursisits<br />

� Gluteus medius/minimus tear<br />

� ITB syndrome<br />

� Meralgia paresthetica<br />

� Posterior <strong>Hip</strong> <strong>Pain</strong><br />

� Lumbar spine abnormalities<br />

� Compression neuropathies<br />

� Piri<strong>for</strong>mis syndrome<br />

� SI joint pathology<br />

� Other Causes of <strong>Hip</strong> <strong>Pain</strong>:<br />

� Abdominal (sports hernias and athletic pubalgia, inguinal hernias,<br />

appendicitis)<br />

� Gynecologic (ovarian cysts, PID, pregnancy)<br />

� Urologic (testicular, scrotal)<br />

� Genitourinary (kidney stone, nephritis)

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