Symptom >> Surgical >> Orthopedics

Soreness on the outside of the hip

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction CT examination of lateral hip soreness is a clinical symptom of lumbar disc bulging. Lumbar disc bulging: refers to the intervertebral disc, annulus fibrosus, posterior longitudinal ligament without obvious damage, but due to the tension of the lumbar muscles, the intervertebral disc is more stressed, so that the posterior longitudinal ligament bulges backward.

Cause

Cause

Due to the tension of the lumbar muscles, the intervertebral disc is subjected to a large force, causing the posterior longitudinal ligament to bulge backward. Lumbar intervertebral disc bulging is mainly due to degenerative lesions of the lumbar intervertebral disc, leading to the nucleus pulposus protruding from the annulus fibrosus, coupled with long-term strain or trauma to the waist, it is more likely to cause lumbar disc herniation. When lumbar disc bulging occurs, it can cause symptoms such as pain in the lower back.

Examine

an examination

Related inspection

Hip joint test for hip hyperextension test

Its clinical manifestations are: lumbar muscle tension, soreness on the lateral side of the hip, and there may be varying degrees of lumbar pain and pain.

Diagnosis

Differential diagnosis

Differential diagnosis of lateral acid soreness:

1. Hip soreness discomfort: The soreness caused by acetabular dysplasia will initially be located in the knee joint, and then mainly in the hip, thigh root, and groin area. The initial performance is the soreness of the hips. It will increase after standing for a long time or after a long walk. It will generally improve after the break. Most patients will think that they are tired or sprained and have not paid attention to it.

Acetabular dysplasia, also known as hip subluxation, refers to a hip deformity that is not formed by the acetabulum. The main pathological change is that the acetabulum becomes shallow, resulting in insufficient tolerance and coverage of the acetabulum to the femoral head. Due to the above pathological changes, the weight-bearing area of the hip joint is reduced, and the pressure per unit area is significantly increased, which gradually causes the damage and degeneration of the articular cartilage, which eventually leads to the occurrence of hip osteoarthritis, painful hip joints and limited activity. Therefore, the variability of acetabular dysplasia is high.

Pediatric hip subluxation, also known as "children's hip joint staggered", "children's hip joint transient synovitis". The age of onset is more common in 5-10 years old, followed by 2-5 years old, followed by 10-15 years old, and occasionally adult (mostly female). The disease is a frequently-occurring disease in children, with more females than males, about 6:4. Most patients must be cured by manual reduction after the disease occurs. Otherwise, adverse consequences will result.

2, hip joint pain: folks commonly known as "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.

3, hip pain: mainly manifested as hip pain, there is a sound when the hip posture changes, or the joint suddenly 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.