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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 1 - 11 (11page)
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Background: Hip pain is a common musculoskeletal complaint in general practice. Although comprehensive diagnostic approach on hip pain is mandatory for adequate treatment, un- or mis-diagnosis is not rare in primary care. The aim of this study was to analyze descriptively un- or mis-diagnosed hip pain cases referred from primary care to a tertiary hospital, especially in young adults ≤ 50 years old. Methods: We retrospectively analyzed a consecutive cohort of 150 patients (≤ 50 years old) with chronic hip pain (≥ 6 weeks), which was not diagnosed or misdiagnosed based on the information provided on the referral form. Results: Overall an average 32 cases/month were referred due to hip pain without a diagnosis or with an incorrect diagnosis. Among them, 150 patients were enrolled in this study and 146 (97.3%) could be allocated to a specific disease by using data from routine clinical practice. Four common final diagnoses were femoroacetabular impingement (FAI) syndrome (55.3%), hip dysplasia (HD, 13.3%), referred pain from the lumbar spine (9.3%), and spondyloarthritis (SpA, 7.3%). In patients with FAI syndrome, 37 (44.0%) had pincer-type FAI and 33 (39.8%) had combined-type. Although the pain site or gender was not tightly clustered, the distribution of final diagnosis was significantly different according to hip pain location or gender. Especially, SpA or HD was not observed in younger women subgroup or elder men subgroup, respectively, when stratified by the mean age of participants. Conclusion: Most (> 80%) young patients with hip pain, a difficult issue to diagnosis for many primary physicians, had FAI syndrome, HD, spine lesions, and SpA. This study could give a chance to feedback information about cases with un- or mis-diagnosed hip pain, and it suggests that primary physicians need to be familiar with the diagnostic approach for these 4 diseases.
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참고문헌 (44)
참고문헌 신청
Thiem U / 2013 / Prevalence of self-reported pain, joint complaints and knee or hip complaints in adults aged ≥ 40 years: a cross-sectional survey in Herne, Germany / PLoS One 8(4):e60753
Suka M / 2009 / The national burden of musculoskeletal pain in Japan: Projections to the year 2055 / Clin J Pain 25(4):313~319
Battaglia PJ / 2016 / Posterior, lateral, and anterior hip pain due to musculoskeletal origin: a narrative literature review of history, physical examination, and diagnostic imaging / J Chiropr Med 15(4):281~293
Karrasch C / 2014 / Practical approach to hip pain / Med Clin North Am 98(4):737~754
Skendzel JG / 2013 / The approach to the evaluation and surgical treatment of mechanical hip pain in the young patient: AAOS exhibit selection / J Bone Joint Surg Am 95(18):e133
Suka M / 2009 / The national burden of musculoskeletal pain in Japan: Projections to the year 2055 / Clin J Pain 25(4):313~319
Battaglia PJ / 2016 / Posterior, lateral, and anterior hip pain due to musculoskeletal origin: a narrative literature review of history, physical examination, and diagnostic imaging / J Chiropr Med 15(4):281~293
Karrasch C / 2014 / Practical approach to hip pain / Med Clin North Am 98(4):737~754
Skendzel JG / 2013 / The approach to the evaluation and surgical treatment of mechanical hip pain in the young patient: AAOS exhibit selection / J Bone Joint Surg Am 95(18):e133
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