Department of Physical Therapy, A.T. Still University-Arizona School of Health Sciences , 5850 E. Still Circle Mesa, Arizona , USA and.
Physiother Theory Pract. 2014 Jan;30(1):49-55. doi: 10.3109/09593985.2013.799723. Epub 2013 Jul 11.
Hip pain in the absence of trauma is difficult to diagnose due to the number of structures that refer pain to the hip and thigh. When identifying the origin of pain, the ability to increase or decrease the patient's pain level with rest, posture or movement is important to determine a clinical pattern. If that pattern does not make sense, other causes of the onset of pain need to be considered.
A 47-year-old male experienced intermittent hip pain for two years that varied in intensity and duration after weight-bearing activities. The patient was ultimately diagnosed with a low grade chondrosarcoma (type 1) of the right proximal femur.
This case highlights the medical management of a patient eventually diagnosed with a chondrosarcoma and the post-surgical physical therapy management. It also describes the multidisciplinary care of the patient from onset of hip pain to discharge from physical therapy and illustrates the importance of recognizing atypical signs and symptoms to facilitate referral and accurate diagnosis.
由于有许多结构会将疼痛放射至臀部和大腿，因此，非创伤性的臀部疼痛难以诊断。在确定疼痛来源时，通过休息、姿势或运动来增加或减少患者疼痛水平的能力对于确定临床模式很重要。如果该模式没有意义，则需要考虑其他引起疼痛的原因。
一名 47 岁男性在负重活动后出现间歇性臀部疼痛，持续时间和强度不一，已持续两年。最终，该患者被诊断为右侧股骨近端低度软骨肉瘤（1 型）。
该病例突出了对最终被诊断为软骨肉瘤的患者进行的医学管理以及术后物理治疗管理。它还描述了从髋关节疼痛出现到从物理治疗中出院的患者的多学科护理，并说明了识别非典型体征和症状以促进转诊和准确诊断的重要性。
