Differential Diagnosis for Anterior Hip Pain
Single Most Likely Diagnosis
- Femoroacetabular Impingement (FAI): This condition is characterized by abnormal contact between the femoral head and the acetabulum, leading to pain and limited mobility. It is a common cause of anterior hip pain, especially in young, active individuals.
Other Likely Diagnoses
- Hip Flexor Strain: Strains to the hip flexor muscles, such as the iliopsoas, can cause anterior hip pain, especially with activities that involve hip flexion.
- Osteoarthritis: Degenerative joint disease can cause pain in the anterior hip, especially with weight-bearing activities.
- Labral Tear: Tears of the acetabular labrum can cause anterior hip pain, often accompanied by clicking or catching sensations.
- Snapping Hip Syndrome: This condition, also known as coxa saltans, is characterized by a snapping sensation in the hip, often accompanied by pain.
Do Not Miss Diagnoses
- Septic Arthritis: Bacterial infection of the hip joint can cause severe pain, swelling, and limited mobility. Prompt diagnosis and treatment are essential to prevent long-term damage.
- Avascular Necrosis: Ischemic necrosis of the femoral head can cause severe pain and limited mobility. Early diagnosis and treatment are critical to prevent collapse of the femoral head.
- Stress Fracture: Fractures of the femoral neck or acetabulum can cause anterior hip pain, especially with weight-bearing activities.
Rare Diagnoses
- Piriformis Syndrome: Compression of the sciatic nerve by the piriformis muscle can cause pain in the anterior hip, as well as numbness and tingling in the leg.
- Intra-abdominal Pathology: Conditions such as appendicitis or diverticulitis can refer pain to the anterior hip.
- Tumors: Benign or malignant tumors of the hip or surrounding tissues can cause anterior hip pain, often accompanied by other symptoms such as weight loss or night pain.