Symptomatic hip joint disease is usually confused with upper lumbar radiculopathy as the hip can refer pain down the anterior thigh to the knee and occasionally further. Variable pain locations may also include the groin, buttock, or other areas in the thigh. The severity of arthritis demonstrated on x-ray only roughly correlates with pain which can be severe and often at night. Hip motion asymmetry is often diagnostic as is Trendelenberg gait, Faber's test, or Stinchfield's test compared to the well leg.46
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