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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A 70-year-old man reports a gradual onset of hip pain that has limited his activities for about a year. The pain initially occurred only with walking and was limited to the anterior hip area but now has spread to the side of the hip and is present at rest. He has no history of injury to the hip, back, or lower back
The Clinical Problem
Strategies and Evidence
Diagnosis
Medical History and Physical Examination
Laboratory Tests
Treatment
Lifestyle Interventions
Pharmacologic Therapy
Surgical Approaches
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Medicine, University of California at Davis Medical School, Sacramento.
Address reprint requests to Dr. Lane at the Department of Medicine, University of California at Davis Medical School, 4800 Second Ave., Suite 2600, Sacramento, CA 95817, or at nelane@ucdavis.edu.
Related Letters:
Osteoarthritis of the Hip
Hando B. R., Gill N. W. III, Beaty J., Jacobs J. J., Berry D., Lane N. E.
Extract |
Full Text |
PDF
N Engl J Med 2008;
358:534-535, Jan 31, 2008.
Correspondence
This article has been cited by other articles:
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