Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right-sided hip pain, localized to the groin, exacerbated by prolonged sitting and deep hip flexion. Reports mechanical symptoms including intermittent catching, locking, and clicking. Pain is described as a dull ache with sharp, stabbing episodes during activity. No history of acute trauma. Symptoms are refractory to conservative management including NSAIDs and physical therapy.
Clinical Examination Findings
Right hip examination reveals limited internal rotation in 90 degrees of flexion. Positive FADIR test (Flexion, Adduction, Internal Rotation) reproducing groin pain. Positive FABER test (Flexion, Abduction, External Rotation) indicating intra-articular pathology. Gait is non-antalgic but shows restricted range of motion. No significant tenderness over the greater trochanter. Neurovascular status intact distally.
Treatment Protocol
Initiate conservative management: activity modification (avoidance of deep hip flexion), targeted physical therapy focusing on hip abductor/core strengthening, and NSAID course. Consider intra-articular corticosteroid or hyaluronic acid injection under ultrasound guidance if symptoms persist. Discuss potential for surgical intervention (hip arthroscopy with cam osteochondroplasty) if conservative measures fail.