Groin Pain Differential Diagnoses
From WikiMSK
Differential Diagnosis
Adult
- Hip Osteoarthritis
- Adductor Tendinopathy/Enthesopathy, rupture, or myofascial pain
- Iliopsoas Tendinopathy, bursitis or myofascial pain
- Abdominal wall related: posterior inguinal wall weakness, tear of external oblique aponeurosis, "Sports Hernia", and Rectus Abdominis Tendinopathy
- Pubic bone stress
- Hip chondral lesion or labral tear
- Stress fracture of neck of femur, pubic ramus, or acetabulum
- Nerve entrapment of obturator, ilioinguinal, or genitofemoral nerves
- Referred lumbar spine or sacroiliac joint pain
- Prostatitis
- UTIs
- Gynaecological conditions
- Testicular tumour
- Osteoid osteoma
- Thoracolumbar syndrome
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)
- Apophysitis of ASIS or AIIS
- Avascular necrosis
- 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
