Diagnosis of osteoarthritis of the hip

A. Hip osteoarthritis presents as pain in the groin, although buttock or anterior thigh or ipsilateral knee pain may also be present. The pain is insidious in nature, typically progresses over a course of months to years, and is described as dull or aching.

B. The patient's posture and gait should be carefully evaluated. The hip joint is palpated to detect signs of local inflammation. Tenderness over the greater trochanter suggests bursitis, while groin tenderness suggests adenopathy, infection or possible neoplasm. Patients with sciatic nerve involvement due to disc disease or osteoarthritis of the spine may describe tenderness over the course of the sciatic nerve. A positive straight leg raising test also suggests sciatica.

C. X-ray findings include osteophyte formation and loss of articular cartilage (ie, joint space narrowing), progressing to total obliteration of the joint space in severe cases.



Thank you for deciding to learn more about the disorder, Osteoarthritis. Inside these pages, you will learn what it is, who is most at risk for developing it, what causes it, and some treatment plans to help those that do have it feel better. While there is no definitive “cure” for Osteoarthritis, there are ways in which individuals can improve their quality of life and change the discomfort level to one that can be tolerated on a daily basis.

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