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Hip Complaints in Children and Adolescents

Perthes’ disease

Perthes’ disease afflicts children between the ages of 3 years and 11 years. Its precise cause is unknown. The bone structure of the head of the femur becomes deformed and flattened due to osteonecrosis (death of bone). The child complains of tiredness and of pain in the groin and sometimes the knee, and […]

Other causes of Pain in the Hip and Groin

Overuse injury or rupture of other groin muscle-tendon units

A number of muscles and tendons affecting the groin region, including the pectineus, the sartorius, the tensor fasciae latae, and the gluteus medius, can be damaged during sporting activity. The precise location of the pain, together with an assessment of muscle function, can elucidate the diagnosis.

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Rupture of the Upper part of the Rectus Femoris Muscle-Tendon Unit

Pain in the groin can be caused by a rupture in the origin or the upper third of the rectus femoris muscletendon junction. This rupture is usually partial, but complete rupture may occur. The rupture can occur during shooting and tackling in football and also during fast acceleration in general.

Symptoms and diagnosis

– During […]

Rupture of the Adductor Muscles

Ruptures of the adductor longus can be partial or complete. Complete ruptures are usually located at the muscle’s insertion into the femur, but can also occur at its origin in the pubic bone. Partial ruptures usually occur in the muscle-tendon junction. A rupture of the adductor longus muscle can occur when the muscles of the […]

Stress Fracture of the Pelvis

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain in the groin or pelvic area in a young anorexic athlete (often a female long-distance runner) or in elderly athletes with osteoporosis.

AETIOLOGY

Stress reaction from excessive jumping or running exercises in fragile athletes. Stress fractures in the flat bones such as […]

Stress Fracture of the Femur Neck

SYMPTOMS

Gradual or acute onset of diffuse or localised exercise-induced pain in the groin.

AETIOLOGY

Stress reaction from excessive jumping or running exercises. Stress fractures in the femur neck are not as typical in osteoporotic or osteopenic patients as pelvic fractures. The location and type of fracture is important for the outcome: tension-side […]

Iliopsoas Related Groin Pain

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced groin pain and occasionally lower back pain. A runner often complains that he cannot produce enough force in the stride forwards and a footballer cannot strike a ball properly. This condition can also present as low back pain.

AETIOLOGY

This is secondary pain in the groin […]

Hip Joint Osteoarthritis

SYMPTOMS

There is gradual onset of diffuse exercise-induced pain in the groin. The hip joint is usually stiff and more painful in the morning than in the afternoon and rotational movements are most difficult. In severe cases, there is pain during rest. There are periods of better and worse symptoms. Secondary muscular symptoms are […]

Hip Joint Labral Tears

SYMPTOMS

There is gradual onset of diffuse exercise-induced pain in the groin. Occasionally the patient experiences, and may be able to demonstrate, clicking from the groin in rotational movement. The hip joint is usually stiff and more painful in the morning than in the afternoon and rotational movements are most difficult. In severe cases […]