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The article by Dick et al covers in detail the management of hip pain in the young adult. The important differential of primary bone sarcoma is however glossed over with a very brief mention in Box 1. Whilst rare, both osteosarcoma and Ewing sarcoma occur around the pelvis and proximal femur in the young adult.
Any patient of this age with progressive pain or night pain should be referred for urgent radiographic assessment to rule out a primary malignant bone tumour. Early diagnosis is essential in these patients as the disease can be rapidly progressive.