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.

Arthritis Joint Pain

Arthritis Joint Pain

Arthritis is a general term which is commonly associated with a number of painful conditions affecting the joints and bones. The term arthritis literally translates to joint inflammation.

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