Lateral Hip Pain Differential Diagnoses

From WikiMSK

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