Hip pain: differential diagnostics (literature review)

Background. Pain in the hip area is one of the symptoms inherent in numerous diseases of the musculoskeletal system of various genesis. Conducting differential diagnostics and establishing the etiological factor of this group of pains allows for the most appropriate treatment. Purpose – Comparison and generalization of the causes of pain in the hip area that are most often encountered in clinical practice/ Materials and Methods. information about the most common causes of pain in the hip area according to the literature and the authorsʼ own observations. Results. The study identified: 39 patients with coxarthrosis of the 1st, 2nd and 3rd degree, 51 patients with vertebrogenic, radiculopathies: L4 (3 patients), L5 (29 patients), S1 (19 people), 5 patients with Bernhardt-Roth syndrome Particular attention was paid to 7 patients for whom difficulties with diagnosis arose at the level of primary care. These patients were initially suspected of having Parkinsonism syndrome, but after performing an X-ray of the pelvic bones, coxarthrosis was detected (in 5 people, the second and in 2, the third degree of severity). The article also discusses in detail the differential diagnosis of various causes of hip pain, including coxarthrosis, L4-L5-S1 radiculopathy, Bernhardt-Roth syndrome, piriformis syndrome, as well as specific causes of pain of infectious origin (trichinosis, cysticercosis, toxoplasmosis). Conclusions. Knowledge of the etiopathogenesis and clinical manifestations of diseases of the musculoskeletal system, the ability to assess the clinical picture allows you to diagnose the pathological process and prescribe adequate treatment.