Practical approach to hip pain

Christopher Karrasch; Scott Lynch

doi:10.1016/j.mcna.2014.03.003

Practical approach to hip pain

Med Clin North Am. 2014 Jul;98(4):737-54, xi. doi: 10.1016/j.mcna.2014.03.003.

Authors

Christopher Karrasch¹, Scott Lynch²

Affiliations

¹ Department of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 30 Hope Drive, Hershey, PA 17033, USA.
² Department of Orthopaedic Surgery, Penn State Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 30 Hope Drive, Hershey, PA 17033, USA. Electronic address: slynch@hmc.psu.edu.

PMID: 24994049
DOI: 10.1016/j.mcna.2014.03.003

Abstract

Hip pain is a common complaint among patients presenting to outpatient clinics. Stratifying patients based on age, acuity, and location of pain (extra-articular vs intra-articular) can help to aid in appropriate imaging and timely referral to an orthopedic surgeon. A thorough history and an organized physical examination combined with radiographs are usually sufficient to diagnose most hip complaints. If the diagnosis remains uncertain, magnetic resonance imaging, usually with intra-articular gadolinium, is the imaging modality of choice in diagnosing both intra-articular and extra-articular pathologies.

Keywords: FAI; Hip pain; Labral tear; Osteoarthritis.

Publication types

Review

MeSH terms

Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
Cryotherapy / methods
Diagnosis, Differential
Glucocorticoids / administration & dosage
Hip Joint*
Humans
Injections, Intra-Articular
Magnetic Resonance Imaging
Pain / diagnosis*
Pain / etiology
Pain Management / methods*
Physical Examination
Physical Therapy Modalities

Substances

Anti-Inflammatory Agents, Non-Steroidal
Glucocorticoids