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The warm and tender hip

Department of Imaging, The Middlesex Hospital, Mortimer Street, London W1

This excerpt was created in the absence of an abstract.

An 18-year-old white woman presented with left-sided low back pain of 9 months duration. Physical examination revealed a warm, tender area over the left sacro-iliac joint. There was wasting of the ipsilateral quadriceps femoris muscle and limitation of hip movements because of pain. The patient was apyrexial. Investigations revealed a haemoglobin of 12.4g dl^–1, a white cell count of 7.9 x 10⁹ 1^–1, an erythrocyte sedimentation rate (ESR) of 33 mm h^–1 and an alkaline phosphatase of 341 i.u. 1^–1. A radiograph of the pelvis (Fig. 1) and computed tomography (CT) (Fig. 2) were performed.

Received for publication March 1, 1988. Revision received May 1, 1988.