Intended for healthcare professionals

Endgames Spot Diagnosis

An uncomfortable hip exacerbated by exercise

BMJ 2015; 351 doi: (Published 16 September 2015) Cite this as: BMJ 2015;351:h4750
  1. Hao Chen, consultant radiologist
  1. 1Department of Radiology, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, 201999, Shanghai, China
  1. Correspondence to: H Chen poetyoung{at}

A 41 year old woman presented to the hospital with gait disturbance. She had felt discomfort around her groin for several years, which was exacerbated recently after taking part in a square dance. On examination she had slight leg length discrepancy. A plain anteroposterior radiograph was taken of her pelvis. What is the diagnosis?


This plain radiograph shows several radiographic signs that are characteristic of developmental dysplasia of the left hip.


This plain radiograph shows some characteristic radiographic signs indicative of developmental …

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