DDx Hip Pain

DDx Hip Pain
Differential Diagnosis of Unilateral Hip Pain

Congenital
– congenital coxa vara (probably not painful until later)
– proximal femoral focal deficiency

Traumatic
– Slip capital femoral epiphysis
– Femoral neck, intertrochanteric fracture or stress fracture
– LT or GT avulsions, ASIS avulsion
– Ischial, pubic, ilium fractures

Developmental
– dislocation/dysplasia (probably not painful quite as yet, but may be)
– developmental coxa vara
– idiopathic chondrolysis

Vascular
– Perthes disease
– post-traumatic
– sickle cell, Gaucher�s, or idiopathic osteonecrosis

Inflammatory
– toxic synovitis, bursitis, osteitis
– juvenile rheumatoid arthritis
– other seronegative spondyloarthropathies – Reiters, psoriatic, ank spond

Neoplastic
– benign – UBC, ABC, EG, chondroblastoma, osteoid osteoma, osteoblastoma, fibrous dysplasia, GCT (abit young for this)
– malignant – ostosarcoma, Ewings, leukemia/lymphoma

Infectious
– septic arthritis
– proximal femoral osteomyelitis
– psoas abscess

Metabolic – rickets??

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