Orthopaedics  |  Osteo Knee & Hip Pathway - Hip Osteoarthistis Suspected


Osteo Knee & Hip Pathway - Hip Osteoarthistis Suspected

Symptoms and signs suggesting hip osteoarthritis:

  • Activity related pain. May get rest and night pain with advanced osteoarthritis.
  • Pain usually felt in the anterior hip and/or groin but may radiate to the thigh and knee.
  • Hip joint stiffness in the morning (usually less than 30 min) or after a period of rest.
  • Reduced mobility affecting walking, putting on shoes or socks etc.
  • Painful hip joint movement.
  • Restricted hip joint movement.
  • Tenderness over the hip joint.
  • Xray signs of osteoarthritis (joint space narrowing, subchondral sclerosis, subchondral cysts, osteophytes)

Other causes of pain in the hip region:

  • Osteonecrosis of the femoral head

    • Reduced movement of the hip occurs late.
    • History of corticosteroid use or excessive alcohol use.

  • Trochanteric bursitis

    • Lateral hip pain.
    • Tenderness over the trochanteric bursa.

  • Peripheral vascular diseaseInflammatory arthritis e.g. rheumatoid arthritis.

    • Buttock, hip, or thigh claudication in patients with aortoiliac vascular disease.
    • 'Aching' pain and weakness when walking. Relieved by rest.

  • Malignant neoplasm of bone - primary or metastasis.

Last updated : Friday, June 02, 2017
Next review date : Saturday, June 02,2018

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