FindingPossible cause
Abdominal massNeuroblastoma
Psoas abscess
Abdominal tendernessAcute abdomen
Asymmetrical gluteal and thigh skin foldsDevelopmental dysplasia of the hip
Calf hypertrophyMuscular dystrophy
Conjunctivitis, enthesitis, oligoarthritis, urethritisReactive arthritis
Erythema chronicum migransLyme disease
Erythema marginatumRheumatic fever
External hip rotation with hip flexionSlipped capital femoral epiphysis
Galeazzi signLimb-length discrepancy
Hepatomegaly, lymph-adenopathy, splenomegalyMalignancy
Rheumatologic disorder
Hip joint flexed, abducted, externally rotatedHip joint effusion (position maximizes joint volume and relieves pain)
Joint swellingHemophilia
Inflammatory arthritis
Reactive arthritis
Septic arthritis
Localized bony tendernessContusion
Fracture
Malignancy
Osteomyelitis
Loss of hip abductionDevelopmental dysplasia of the hip
Loss of hip internal rotationLegg disease
Slipped capital femoral epiphysis
Malar rashSystemic lupus erythematosus
Muscular arthropathyDisuse muscular atrophy
Neurologic disorder
Neck pain and stiffness, Brudzinski and Kernig signsMeningitis
Non-weight bearing, painful limitation of range of motionSeptic arthritis
ObesitySlipped capital femoral epiphysis
Overlying warmth or rednessInflammatory arthritis
Osteomyelitis
Septic arthritis
Painless, nonpruritic maculopapular or vesicular skin rash, polyarthritis, tenosynovitisGonococcal arthritis
Palpable bony massMalignancy
Positive Patrick (FABER) testSacroiliac joint pathology
Positive pelvic compression testSacroiliac joint pathology
Positive Trendelenburg testDevelopmental dysplasia of the hip
Weak hip abductors
Psoas signAppendicitis
Psoas abscess