Skip to Main Content

Chapter 45: Hip Pain in a Child

Stephanie A. Jones

Description of the Symptom

This chapter describes possible causes of hip pain in a child between the proximal one-third of the thigh, inguinal region, and buttock.

Special Concerns

  • Any hip pain associated with rapidly ascending symmetrical weakness and hyporeflexia

  • Severe hip pain with an acute onset associated with an inability to bear weight, decreased range of motion, and stiffness

  • Any post-traumatic hip pain

  • Hip pain associated with local swelling, fever, and chills

CHAPTER PREVIEW: Conditions That May Lead to Hip Pain in a Child
View Table||Download (.pdf)
CHAPTER PREVIEW: Conditions That May Lead to Hip Pain in a Child
...
T  Trauma
REMOTE LOCAL
COMMON
Spondylolisthesis 905

Muscle strain 911

Slipped femoral capital epiphyses 917

Tendinitis 918
UNCOMMON
Spondylolysis 906

Chondral injury 908

Contusion 908

Snapping hip syndrome 917
RARE
Lumbar disk herniation/radiculopathy 905

Avulsion injuries:

  • Psoas off lesser trochanter 907

  • Rectus femoris off the anterior inferior iliac spine 907

  • Sartorius or tensor fascia lata off the anterior superior iliac spine 907

Fracture 908

Labral tear 910

Meralgia paresthetica 911

Traumatic dislocation 918
I  Inflammation
REMOTE LOCAL
COMMON
Not applicable

Aseptic

Transient synovitis 918

Septic

Osteomyelitis (pyogenic or granulomatous) 912

Septic arthritis 916
UNCOMMON
Not applicable

Aseptic

Bursitis 907

Osteochondritis dissecans 912

Septic

Lyme disease (tick paralysis) 911
RARE

Aseptic

Not applicable

Septic

Appendicitis 904

Chronic granulomatous disease 905

Discitis 905

Aseptic

Apophysitis 907

Demyelinating polyneuropathies:

  • Acute demyelinating polyradiculoneuropathy (Guillain-Barré syndrome) 908

  • Chronic demyelinating polyradiculoneuropathy 908

Juvenile dermatomyositis 909

Juvenile rheumatoid arthritis 909

Osteitis pubis 912

Rheumatic fever 913

Rheumatoid arthritis–like diseases of the hip:

  • Arthritis with inflammatory bowel disease 913

  • Juvenile ankylosing spondylitis 914

  • Juvenile dermatomyositis 914

  • Psoriatic arthritis 915

  • Reactive arthritis (Reiter's syndrome) 915

  • Systemic lupus erythematosus 915

Scleroderma (focal or systemic sclerosis) 916

Septic

Poliomyelitis 913

Pyomyositis 913

Tuberculosis arthritis 918
M  Metabolic
REMOTE LOCAL
COMMON
Not applicable Not applicable
UNCOMMON
Not applicable

Osteogenesis imperfecta 912

Rickets, vitamin D–resistant (hypophosphatasia) 916
RARE
Metabolic myopathy 905

Ehlers-Danlos syndrome 908

Gaucher's disease 909

Lesch-Nyhan syndrome 910

Myositis ossificans (heterotopic ossification) 912

Osteopetrosis 913

Rickets, vitamin D–dependent (nutritional) 916
Va  Vascular
REMOTE LOCAL
COMMON
Not applicable

Avascular necrosis of the hip 907

Legg-Calvé-Perthes disease 910

Sickle cell anemia 917
UNCOMMON
Not applicable Not applicable
RARE
Not applicable

Hemophilic arthropathy 909

Henoch-Schönlein purpura (small-vessel vasculitis) 909

Polyarteritis nodosa (medium- and large-vessel vasculitis) 913
De  Degenerative
REMOTE LOCAL
COMMON
Not applicable Not applicable
UNCOMMON
Not applicable Not applicable
RARE
Not applicable Not applicable
Tu  Tumor
REMOTE LOCAL
COMMON
Not applicable Not applicable
UNCOMMON
Not applicable

Malignant Primary, such as:

• Nephroblastoma (Wilms' tumor) 920

Malignant Metastatic:

Not applicable

Benign, such as:

• Osteoid osteoma 921
RARE
Not applicable

Malignant Primary, such as:

  • Ewing's sarcoma 919

  • Leukemia 919

  • Lymphoma 920

  • Neuroblastoma 920

  • Osteosarcoma (osteogenic sarcoma) 921

  • Rhabdomyosarcoma 922

  • Synovial sarcoma 922

Malignant Metastatic:

Not applicable

Benign, such as:

  • Langerhans' cell histiocytosis 919

  • Osteochondroma 921
Co  Congenital
REMOTE LOCAL
COMMON
Not applicable

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.

This site uses cookies to provide, maintain and improve your experience. MH Privacy Center Close