Overdiagnosed sciatica and stenosis, underdiagnosed hip arthritis.
A retrospective analysis of 43 consecutive patients with hip osteoarthritis was performed. Twenty-four patients had previously been diagnosed with hip osteoarthritis, and 19 were treated solely for coexistent spine-related disorders without recognition of hip osteoarthritis. Four of 19 patients had previous spinal surgery for sciatica or spinal stenosis, 6 of 19 had epidural injections, 17 of 19 had magnetic resonance imaging or computed tomography, and 3 of 19 had electrodiagnostic studies.
Swezey
Robert L
RL
The Arthritis & Back Pain Center, Santa Monica, Calif 90404, USA.
D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000706:statistics & numerical data*; D015207:Osteoarthritis, Hip / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D012189:Retrospective Studies; D012585:Sciatica / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D013130:Spinal Stenosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data