Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right hip pain, localized to the groin and lateral aspect, exacerbated by prolonged standing and weight-bearing activities. History of childhood hip dysplasia noted. Patient reports mechanical symptoms including catching, locking, and a sense of instability. Current pain severity is [X]/10, interfering with activities of daily living. No history of recent trauma.
Clinical Examination Findings
Right hip examination reveals limited internal rotation and abduction. Positive impingement sign (FADIR) noted. Trendelenburg test is [positive/negative]. Gait analysis demonstrates an antalgic limp. Radiographic evaluation confirms acetabular dysplasia with a lateral center-edge angle of [X] degrees and evidence of early osteoarthritis (Tรถnnis grade [X]).
Treatment Protocol
Initial management includes activity modification, physical therapy focusing on abductor strengthening and core stabilization, and non-steroidal anti-inflammatory drugs (NSAIDs). Intra-articular corticosteroid or hyaluronic acid injection may be considered for symptomatic relief. If conservative measures fail, surgical consultation for periacetabular osteotomy (PAO) or total hip arthroplasty (THA) is recommended.