Common Causes

Gluteal pain secondary to L5-S1 root irritation

Trochanteric Bursitis

Synovitis ? Koch's ? RA Infective pathology especially in children

Less Common Causes

Avascular Necrosis of the Femoral Head.

Pain Radiating from the Sacroiliac joint Pathology.

Stress fracture Pubic ramus due to Osteoporosis.

Pseudo fracture due to Osteomalacia.

Psoas Bursitis.

Pseudo Fracture

• Pseudo fracture due to osteomalacia.
• Commonly seen in young women in childbearing age group due to inadequate calcium intake, the calcium deficiency is compounded by prolonged breast feeding which puts additional calcium demands on the mother.
• A typical patient is a young woman in childbearing age, complains of feeling of tiredness, difficulty in walking, difficulty in getting up after squatting.
• Patient walks with a waddle, has tender long bones.
• X-rays show diminished calcium content in bones, and in late cases, pseudo fractures that may become total fractures, especially at pubic rami or at neck of femur.
• Treatment consists of adequate intake of calcium and vitamins.

Sources of Calcium

• Milk & milk products - Eggs - Leafy vegetables