Groin Pain Differential Diagnoses

From WikiMSK

Adult

  • Groin muscle pull
  • Sports hernia
  • Hip osteoarthritis
  • Labral tear
  • Inguinal hernia
  • Hip stress fracture
  • Osteitis pubis
  • Distal abdominal rectus strain
  • Adductor longus rupture
  • Hip osteonecrosis (glucocorticoid use)
  • Hip synovitis
  • Hip septic arthritis

Paediatric

  • Infectious
    • Septic arthritis of the hip
    • Septic arthritis of the sacroiliac joint
    • Lyme disease
    • Osteomyelitis of femoral head or pelvis
    • Psoas abscess
    • Appendicitis or abdominal/pelvic abscess
  • Inflammatory
    • Transient synovitis
    • Systemic arthritis
      • Spondyloarthropathy
      • Juvenile idiopathic arthritis (rare as isolated hip pain)
      • Kawasaki disease
      • Infectious/post-infectious
    • Idiopathic chondrolysis of the hip
    • Chronic recurrent multifocal osteomyelitis
  • Mechanical/orthopedic
    • Slipped capital femoral epiphysis (SCFE)
    • Avascular necrosis
      • Legg-Calve-Perthes disease
      • Secondary avascular necrosis
    • Femoral stress fracture
    • Muscular strain
  • Neoplastic/infiltrative
    • Osetoid osteoma
    • Leukemia
    • Solid Tumor, primary or metastatic
    • Pigmented villonodular synovitis
  • Other
    • Sickle cell pain crisis