Osteoarthritis of the hip
- See more detailed notes on OA
- Clinical features: Classically presents with pain, and reduced internal rotation
Pubic symphysis dysfunction
- Often triggered by pregnancy due to increased laxity of ligaments
- Clinical features: Pain over the pubic symphysis which radiates into the groins, a ‘waddling’ gait
Greater trochanteric pain syndrome
Pathophysiology
- A syndrome of chronic, often intermittent, pain felt over and around the greater trochanter, on the lateral aspect of the thigh/buttock.
- The pathophysiology may involve underlying trochanteric bursitis and/or tendinopathy or injury of the gluteus muscles.
Clinical features
- Chronic pain felt in around the greater trochanter and around the buttock, thigh or lateral hip.
- Pain may come and go or be persistent and is exacerbated by activity or external pressure - e.g. exercise, or lying in bed on the affected side
- Symptoms are usually of gradual onset and progressive
- On examination - tenderness on palpation of the GT, antalgic gait, trendelenburg may be positive
Management
- Simple analgesia
- Consider peri-trochanteric steroid injection and PT referral if persistent symptoms
