To showcase some unanticipated disorders of diverse aetio-pathogenesis which result in shared complaint of a painful hip To reinforce the imaging features of these sundry but important entities so that the readers remember to report them as a causal entities of hip pain in otherwise negative scans

This narrative aims to illustrate a fragment of the spectrum of unanticipated disorders in patients presenting with the chief complaint of a painful hip. The hip joint aka acetabulofemoral joint primarily serves the weight-bearing function in both static & dynamic postures Besides the commonly encountered multifarious disorders of hip joint per se, an assortment of unexpected pathologies with location outside the hip joint may too have painful hip as the primary symptomatology These entities can range from seemingly innocuous conditions like Bertolotti syndrome to iliopsoas...

1. Femoroacetabular Impingement (FAI) Morphology: It is a major cause of early osteoarthritis especially in the young and active patients characterised by an early pathologic contact during hip joint motion between skeletal prominences of the acetabulum and the femur that limits the physiologic hip range of motion, typically flexion and internal rotation. 86% patients have a combination of the Pincer & Cam subtypes of FAI. (Fig.1) 2. Paralabral cysts: These develop subsequent to labral tears causing forced extrusion of synovial fluid/tissue via a one –way...

We have presented a pictorial & literature review of some disparate causes of hip pain in which underlying causative pathology is located away from hip joint proper. Astute observational skills and ‘out of box’ thinking will help the radiologist in clinching the diagnosis in such cases .In nutshell, the underlying message for readers is: “When not in hip, look beyond the hip”

Address for Correspondence: Dr Saryu Gupta, Associate Professor,Department Of Radiodiagnosis, Government Medical College and Rajindra Hospital, Patiala (Punjab)-147001 (INDIA) E-mail: [email protected] ; [email protected] Dr Navkiran Kaur Professor,Department Of Radiodiagnosis, Government Medical College and Rajindra Hospital, Patiala (Punjab)-147001 (INDIA) Department of Radiodiagnosis, Government Medical College and Rajindra Hospital, Patiala: Dr Manoj Mathur (Professor) Dr Amarjit Kaur (Professor) Dr Jaswinder Kaur Mohi (Associate Professor)

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