Hip & GroinDiagnostic Algorithm

Diagnostic Flowchart: Hip & Groin

Follow the algorithm step by step. Click on options to navigate through the decision tree.

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Hip Pain Assessment

Full Algorithm Overview

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Hip Pain Assessment

→ q_child
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Child or adolescent?

Yes → q_child_ageNo → q_trauma_hip
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Adolescent (10-16), especially if obese?

Yes → d_scfeNo → q_perthes
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Suspected SCFE — URGENT

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Child age 4-10 with limp and hip/knee pain?

Yes → d_perthesNo → q_septic_child
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Suspected Perthes Disease

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Fever, unable to weight-bear, hot joint?

Yes → d_septicNo → d_irritable_hip
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Suspected Septic Arthritis — EMERGENCY

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Transient Synovitis (Irritable Hip)

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Fall in elderly patient? Unable to weight-bear?

Yes → d_hip_fractureNo → q_groin
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Suspected Hip Fracture — EMERGENCY

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Groin pain (true hip joint)? Reduced internal rotation?

Yes → q_oa_hipNo → q_lateral_hip
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Age >50, gradual onset, morning stiffness <30 min?

Yes → d_hip_oaNo → q_avn
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Hip Osteoarthritis

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Risk factors for AVN? (Steroids, alcohol, SLE, sickle cell)

Yes → d_avnNo → q_labral
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Suspected AVN of Femoral Head

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Young active patient with clicking/catching in hip?

Yes → d_labralNo → d_other_hip
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Hip Labral Tear / FAI

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Lateral hip pain? Tender over greater trochanter?

Yes → d_gtpsNo → q_adductor
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Greater Trochanteric Pain Syndrome

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Medial groin pain with resisted adduction? Sports-related?

Yes → d_adductorNo → d_other_hip
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Adductor Strain / Groin Strain

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Consider: Referred pain (spine, SI joint), stress fracture, hernia