Anterior Thigh Pain Differential Diagnoses

From WikiMSK


  • Quadriceps muscle contusion or strain (distal rectus femoris, or proximal rectus femoris), sartorius or gracilis muscle sprain
  • Myositis ossificans
  • Referred pain from upper lumbar spine, sacroiliac joint, or hip joint
    • Lumbar Radicular Pain (L4)
    • Lumbar plexopathy - weakness of hip adductors and flexors, abdominal wall pain
  • Stress fracture of femur
  • Avulsion of rectus femoris apophysis
  • Hip Nerve Entrapment Syndromes: Lateral cutaneous, femoral cutaneous, obturator
  • SUFE
  • Perthes disease
  • Acute compartment syndrome of the thigh
  • Endometriosis
  • Diabetic radiculopathy or plexopathy
  • Acute retroperitoneal haematoma or abscess
  • Iliacus Pyomyositis
  • Tumours of the femoral nerve, ilium, or iliopsoas muscle
  • Pseudoaneurysm of the iliac vessels
  • Vasculitis
  • Upper motor neuron lesion