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