Hip Spine Syndrome
Definition[edit | edit source]
• Hip-spine syndrome was first described by Offerski and MacNab in 1983 [1]and refers to concurrent hip osteoarthritis and lumbar spine degenerative disease in elderly patients. It was explained that the patient has combined LBP and groin pain. Recently,
It has expanded and includes other hip pathologies such as femoral-acetabular impingement, labral tear, hip dysplasia, and other lumbar pathologies such as facet arthropathy, lumbar spinal stenosis, and sacroiliac joint pain. There is a high prevalence of lumbar and lumbosacral pathologies combined with hip abductor tendon disorders.[2]
Classification:[edit | edit source]
Hip-spine syndrome is classified into four categories:
- SIMPLE: The primary source of symptoms may be clearly attributed to either the hip or spine. That means either a patient who has lumbar pathology refers pain to the inguinal region, but the source is the spine and no hip pathology, or a patient who has hip pathology refers pain to the lumbar spine without any problem at the lumbar spine.
- SECONDARY: Hip and spine pain are interdependent such that the symptoms of one are secondary to a deformity or pathology of the other. This means that hip pathology causes spinal pathology or vice versa.
- COMPLEX: There are concurrent pathological changes in both the hip and spine, with no clear primary source of pain.
- MISDIAGNOSIS: Same Pain pattern but not related to the hip or lumber regions such as visceral problem which refers pain to spine and hip regions. [3]
Clinical Presentation[edit | edit source]
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Diagnostic Procedures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Resources[edit | edit source]
References[edit | edit source]
- ↑ Offierski CM, MacNab I. Hip-spine syndrome. Spine. 1983 Apr 1;8(3):316-21
- ↑ Maldonado DR, Youssefzadeh KA, Wydra F, Sherman B, Gerhardt MB. High prevalence of lumbosacral pathology in patients with greater trochanteric pain syndrome. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2022 Apr 1;38(4):1189-92.
- ↑ Dutton R. A Review of Hip-Spine Syndrome. Current Physical Medicine and Rehabilitation Reports. 2019 Sep 15;7:264-74.
