Hip spine syndrome
Citation, DOI & article data
Patients with hip spine syndrome have hip and lumbar spine degeneration and present with buttock, thigh and/or knee pain 2. Groin and/or buttock pain are thought to be specific markers for hip pathology 1,2.
Hip spine syndrome has been classified into four types 1,3:
- simple (primary): symptomatic hip and lumbar pathology but straightforward clinical differentiation
- secondary: symptomatic hip and lumbar pathology where one has caused the other
- complex: symptomatic hip and lumbar pathology but clinical identification of the source of pain is not possible
- misdiagnosed: hip and lumbar pathology with inappropriate treatment resulting in ongoing symptoms
Treatment and prognosis
In patients with hip-spine syndrome where the pain source cannot be identified, an image-guided hip joint injection is an accurate diagnostic test 4.
- 1. Younus A & Kelly A. Hip Spine Syndrome – A Case Series and Literature Review. Interdisciplinary Neurosurgery. 2021;23:100960. doi:10.1016/j.inat.2020.100960
- 2. Devin C, McCullough K, Morris B, Yates A, Kang J. Hip-spine Syndrome. J Am Acad Orthop Surg. 2012;20(7):434-442. doi:10.5435/jaaos-20-07-434
- 3. Prather H & Dillen L. Links Between the Hip and the Lumbar Spine (Hip Spine Syndrome) As They Relate to Clinical Decision Making for Patients with Lumbopelvic Pain. PM&R. 2019;11(S1). doi:10.1002/pmrj.12187
- 4. Maldonado D, Mu B, Ornelas J et al. Hip-Spine Syndrome: The Diagnostic Utility of Guided Intra-articular Hip Injections. Adv Orthop. 2020;43(2). doi:10.3928/01477447-20191223-05