Obturator Neuralgia – The Clinical Syndrome Obturator neuralgia is an uncommon cause of medial thigh pain that does not extend below the knee and occurs most often after trauma. Pelvic fractures, gunshot wounds, and occasionally childbirth have been implicated in the evolution of obturator neuralgia. With the increased number of total hip arthroplasties being performed, …
Adductor Tendinitis The Clinical Syndrome The increased use of exercise equipment in gyms for lower extremity strengthening has resulted in an increased incidence of adductor tendinitis. The adductor muscles of the hip include the gracilis, adductor longus, adductor brevis, and adductor magnus muscles. The adductor function of these muscles is innervated by the obturator nerve, …
Iliopectinate Bursitis – The Clinical Syndrome A patient with iliopectinate bursitis frequently reports pain in the anterior hip and groin. The pain is localized to the area just below the crease of the groin anteriorly, with referred pain noted into the hip joint and anterior pelvis. Often, the patient is unable to sleep on the …
Snapping Hip Syndrome – The Clinical Syndrome Snapping hip syndrome, which is also known as coxa sultans, is a constellation of symptoms that includes a snapping sensation in the lateral hip associated with sudden, sharp pain in the area of the greater trochanter. The snapping sensation and pain are the result of the iliopsoas tendon subluxing over …
Tibiofibular Pain Syndrome – The Clinical Syndrome Tibiofibular joint pain is most often the result of arthritis of the joint. Osteoarthritis of the joint is the most common form of arthritis that results in tibiofibular joint pain. Rheumatoid arthritis and posttraumatic arthritis also are common causes of tibiofibular pain secondary to arthritis. The tibiofibular joint …
Semimembranosus Insertion Syndrome – The Clinical Syndrome Semimembranosus insertion syndrome is a constellation of symptoms including a localized tenderness over the posterior aspect of the medial knee joint, with severe pain elicited on palpation of the attachment of the semimembranosus muscle at the posterior medial condyle of the tibia. Semimembranosus insertion syndrome occurs most commonly …
Coronary Ligament Strain – The Clinical Syndrome Strain of the coronary ligaments is an often overlooked cause of medial knee pain and can cause significant pain and functional disability. The coronary ligaments are thin bands of fibrous tissue that anchor the medial meniscus to the tibial plateau. The coronary ligaments are actually extensions of the …