Lateral Hip Pain Differential Diagnoses

Adult

• Greater trochanteric pain syndrome (Gluteus medius dysfunction, Gluteus medius or gluteus minimus tendinopathy, Piriformis tendinopathy, Iliotibial tract friction syndrome, Trochanteric bursitis )
• Traction enthesopathy or apophysopathy
• Piriformis syndrome
• Snapping hip syndrome
• Meralgia paresthetica
• Peripheral compressive neuropathy
• Hip (femoroacetabular) osteoarthrosis
• Femoroacetabular impingement
• Acetabular labral pathology
• Femoral head avascular necrosis
• Femoral neck fracture
• Femoral neck stress fracture
• Iliopsoas tendinopathy
• Sports hernia
• Fibromyalgia
• Myofascial trigger points
• Complex regional pain syndrome
• Lumbosacral spine disorders
• Referred pain from intra-abdominal processes

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