Patient history and differential diagnosis

Warning

Common Differential Diagnoses:

  • Osteoarthritis
  • Avascular necrosis
  • Impingement 
  • Bursitis
  • Post surgery rehabilitation

Osteoarthritis

The following articles contain general information relating to the pathology of Hip Osteoarthritis:

Ferguson, R.J., Prieto-Alhambra, D., Walker, C., Yu, D., Valderas, J.M., Judge, A., Griffiths, J., Jordan, K.P., Peat, G., Glyn-Jones, S. and Silman, A.J., 2019. Validation of hip osteoarthritis diagnosis recording in the UK Clinical Practice Research Datalink. Pharmacoepidemiology and drug safety, 28(2), p.187.
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Kim, C., Nevitt, M.C., Niu, J., Clancy, M.M., Lane, N.E., Link, T.M., Vlad, S., Tolstykh, I., Jungmann, P.M., Felson, D.T. and Guermazi, A., 2015. Association of hip pain with radiographic evidence of hip osteoarthritis: diagnostic test study. Bmj, 351, p.h5983.
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Laredo, J.D., Wyler, A., Alvarez, C., Aout, M., Lequesne, M. and Vicaut, E., 2018. Diagnostic performance of bilateral false profile radiographs in early hip osteoarthritis. Joint Bone Spine, 85(1), pp.93-99.
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Lee, S., Nardo, L., Kumar, D., Wyatt, C.R., Souza, R.B., Lynch, J., McCulloch, C.E., Majumdar, S., Lane, N.E. and Link, T.M., 2015. Scoring hip osteoarthritis with MRI (SHOMRI): a whole joint osteoarthritis evaluation system. Journal of Magnetic Resonance Imaging, 41(6), pp.1549-1557.
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Palmer, A., Fernquest, S.J., Rombach, I., Park, D., Pollard, T., Broomfield, J., Bangerter, N., Carr, A.J. and Glyn-Jones, S., 2016. Diagnostic and Prognostic Value of Delayed Gadolinium Enhanced Magnetic Resonance Imaging (dGEMRIC) in Early Osteoarthritis of the Hip. Journal of hip preservation surgery, 3(suppl_1), pp.hnw030-049.
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Avascular necrosis

The following articles contain general information relating to the pathology of Avascular Necrosis (AVN) of the Hip:

Hauzeur, J.P., Malaise, M. and De Maertelaer, V., 2016. A prospective cohort study of the clinical presentation of non-traumatic osteonecrosis of the femoral head: spine and knee symptoms as clinical presentation of hip osteonecrosis. International orthopaedics, 40(7), pp.1347-1351.
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Sultan, A.A., Mohamed, N., Samuel, L.T., Chughtai, M., Sodhi, N., Krebs, V.E., Stearns, K.L., Molloy, R.M. and Mont, M.A., 2019. Classification systems of hip osteonecrosis: an updated review. International orthopaedics, 43(5), pp.1089-1095.
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Zalavras, C.G. and Lieberman, J.R., 2014. Osteonecrosis of the femoral head: evaluation and treatment. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 22(7), pp.455-464.
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Impingement

The following articles contain general information relating to the pathology of hip impingement:

Clohisy, J.C., Knaus, E.R., Hunt, D.M., Lesher, J.M., Harris-Hayes, M. and Prather, H., 2009. Clinical presentation of patients with symptomatic anterior hip impingement. Clinical orthopaedics and related research, 467(3), pp.638-644.
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Griffin, D.R., Dickenson, E.J., O'Donnell, J., Agricola, R., Awan, T., Beck, M., Clohisy, J.C., Dijkstra, H.P., Falvey, E., Gimpel, M. and Hinman, R.S., 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. British journal of sports medicine, 50(19), p.1169.
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Guermazi, A., 2019. Subspine Impingement: Diagnostic Dilemma for a Possible New Form of Hip Impingement. Radiology, 293(2), p.422.
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Nakano, N., Yip, G. and Khanduja, V., 2017. Current concepts in the diagnosis and management of extra-articular hip impingement syndromes. International orthopaedics, 41(7), p.1321.
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Bursitis

The following articles contain general information relating to the pathology of hip bursitis:

Lin, C.Y. and Fredericson, M., 2015. Greater trochanteric pain syndrome: An update on diagnosis and management. Current Physical Medicine and Rehabilitation Reports, 3(1), pp.60-66.
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Redmond, J.M., Chen, A.W. and Domb, B.G., 2016. Greater Trochanteric Pain Syndrome. The Journal of the American Academy of Orthopaedic Surgeons, 24(4), p.231.
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Silva, F., Adams, T., Feinstein, J. and Arroyo, R.A., 2008. Trochanteric bursitis: refuting the myth of inflammation. Journal of clinical rheumatology: practical reports on rheumatic & musculoskeletal diseases, 14(2), p.82.
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Zibis, A.H., Mitrousias, V.D., Klontzas, M.E., Karachalios, T., Varitimidis, S.E., Karantanas, A.H. and Arvanitis, D.L., 2018. Great trochanter bursitis vs sciatica, a diagnostic-anatomic trap: differential diagnosis and brief review of the literature. European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 27(7), p.1509.
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Leg length discrepancy

The following articles contain general information relating to the pathology of leg length discrepancy:

Gordon, J.E. and Davis, L.E., 2019. Leg Length Discrepancy: The Natural History (And What Do We Really Know). Journal of pediatric orthopedics, 39(6, Supplement 1 Suppl 1), p.S10.
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Khamis, S., Springer, S., Ovadia, D., Krimus, S. and Carmeli, E., 2018. Measuring Dynamic Leg Length during Normal Gait. Sensors (Basel, Switzerland), 18(12).
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Mahmood, S.S., Mukka, S.S., Crnalic, S. and Sayed-Noor, A.S., 2015. The influence of leg length discrepancy after total hip arthroplasty on function and quality of life: a prospective cohort study. The Journal of arthroplasty, 30(9), pp.1638-1642.
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Sykes, A., Hill, J., Orr, J., Humphreys, P., Rooney, A., Morrow, E. and Beverland, D., 2015. Patients’ perception of leg length discrepancy post total hip arthroplasty. Hip International, 25(5), pp.452-456.
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Editorial Information

Last reviewed: 01/08/2024

Next review date: 01/08/2025

Approved By: British Association of Prosthetists and Orthotists (BAPO)

Reviewer name(s): Laura Barr, British Association of Prosthetists and Orthotists (BAPO) Professional Affairs Committee .