Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic left hip pain, localized to the groin, exacerbated by prolonged sitting, deep hip flexion, and internal rotation. Reports mechanical symptoms including clicking, catching, and occasional locking. Pain is described as a dull ache with intermittent sharp stabs during activity. No history of acute trauma.
Clinical Examination Findings
Left hip examination reveals restricted range of motion, specifically in internal rotation and flexion. Positive FADIR test (Flexion, Adduction, Internal Rotation) reproducing groin pain. FABER test (Flexion, Abduction, External Rotation) may be positive or limited. Gait is non-antalgic, but patient demonstrates discomfort during active hip flexion. Neurovascular status intact distally.
Treatment Protocol
Initial management includes activity modification, avoidance of provocative positions (deep flexion/rotation), and a structured physical therapy program focusing on core stabilization and hip abductor strengthening. Consider NSAIDs for symptom control. If conservative measures fail, consider intra-articular corticosteroid injection or surgical consultation for hip arthroscopy/cam lesion resection.