hip pain
Introduction
Introduction The folk custom is called "squatting pain." In medicine, we call it "hip pain", referred to as "hip pain", which is an uncomfortable pain around the hip or joint. There are many causes of hip pain, and there are different reasons for different age groups.
Cause
Cause
1. Muscle tendon strain: There is a history of acute injury, local swelling, tenderness, and ecchymosis can be confirmed by B-ultrasound or MRI.
2. Children should rule out the possibility of avulsion fracture of the anterior superior iliac spine or displacement of the femoral condyle. Can be clearly defined in X.
3. Rickets: caused by excessive exercise. There is local tenderness, and the degree of pain increases as the amount of exercise increases.
4. Arthritis: It manifests as pain during activity and the pain gradually worsens. Reduced joint mobility, especially internal rotation. On the X-ray film, the joint space can be seen to be narrow and the callus is formed. If there is a manifestation of joint inflammation in young people, it is necessary to consider whether there are inflammatory factors such as infectious arthritis, reactive arthritis or other systemic diseases such as rheumatoid arthritis.
5. end inflammation: due to rheumatic diseases involving the tendon. Mostly located at the end of the tendon. There may be other parts of the tendon that are involved at the same time.
6. Femoral neck fracture: caused by excessive movement, trauma, bone abnormalities, etc., felt pain during internal rotation. Fatigue fractures can be normal on X-rays and require a radionuclide scan or MRI to confirm the diagnosis.
7. Pubic osteitis: pain in the middle of the pubis, radiating to the hip joint. There is direct tenderness in the area.
8. Inguinal nerve compression: pain is similar to sputum, but at the same time there is adductor muscle atrophy and paralysis. It can be confirmed by electromyography.
9. Exercise sputum: showing chronic pain in the groin area. Increased during exercise. There may be tenderness at the upper inguinal ring.
10. Lip disease: A history of injury that manifests as chronic deep intra-articular pain. "Interlocking" can occur when walking. Rotational grinding tests during physical examination can induce pain. MRI angiography can improve the accuracy of the diagnosis. Diagnosis can also be confirmed by diagnostic intra-articular anesthesia.
Examine
an examination
Related inspection
Children's orthopedic examination of bone and joint soft tissue CT examination of serum osteocalcin (BGP)
Hip pain is a clinically common disease. However, there are many soft tissues such as muscles and ligaments around the hip joint, and the structure is complicated. The pain is often blurred and cannot be touched. Many diseases of varying severity often behave similarly. Therefore, hip pain has always been one of the clinically difficult diseases.
According to the medical history, the clinical manifestations were diagnosed and diagnosed.
Diagnosis
Differential diagnosis
"Hip Hip Impingement" is mainly characterized by hip pain, a popping sound when changing the hip posture, or a feeling that the joint suddenly gets stuck. The hip strength of the affected side is reduced, and it is difficult to run fast or support one leg. Severe patients can't even lie on their side.
Pain can make the legs unable to open the hips, and may also feel pain when walking. Adults are more likely to have chronic rheumatoid arthritis or degenerative hip joint disease. If this happens to children, it may be "Petz disease", one of the bone diseases.
"Femoral head necrosis", "synovitis", "sciatica", "lumbar disc herniation", etc. can cause hip joint pain.
Hip pain is a clinically common disease. However, there are many soft tissues such as muscles and ligaments around the hip joint, and the structure is complicated. The pain is often blurred and cannot be touched. Many diseases of varying severity often behave similarly. Therefore, hip pain has always been one of the clinically difficult diseases.
