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Endgames Spot diagnosis

An amateur runner with hip pain and antalgic gait

BMJ 2016; 353 doi: (Published 03 May 2016) Cite this as: BMJ 2016;353:i2400
  1. Henry James Jonathon Hughes, medical student1,
  2. Stefan Kluzek, specialist registrar, sports and exercise medicine2
  1. 1Oxford University Medical School, University of Oxford, Oxford, UK
  2. 2Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, University of Oxford, Oxford, UK
  1. Correspondence to: H J J Hughes{at}

A 52 year old amateur runner who had increased his running distance over a short period of time presented to clinic with a 17 week history of hip pain associated with antalgic gait. He had no other symptoms or medical history of note and was not taking any drugs. His blood tests showed low testosterone levels only, and his DEXA (dual energy x ray absorptiometry) scan was normal. Pelvic radiography was performed (fig 1 …

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