ABSTRACT

Hip pain is a common presenting complaint in primary care, with one study estimating the incidence of hip pain to be as high as 36". Septic arthritis tends to occur in patients who are immune-compromised, or have had recent bacteraemia or intravenous drug abuse, recent trauma or comorbidities such as diabetes. Stress fractures can either be fatigue fractures or insufficiency fractures. Bone marrow oedema syndrome is characterised by gradual-onset hip pain with focal proximal femoral osteopenia on radiographs but improves over several months. Femoroacetabular impingement (FAI) or hip impingement refers to production of pain when the femoral head neck junction abuts against the acetabular rim. Adductor tendinopathy is a common cause of hip pain in athletes, especially in sports with repetitive kicking, quick starts or direction changes. Obturator nerve compression is associated with previous pelvic procedures or pelvic masses and presents with a medial thigh pain or numbness which is exacerbated by activity and relieved with rest.