Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, activity-related left hip pain, localized primarily to the groin. Symptoms are exacerbated by prolonged sitting, hip flexion, and internal rotation. Patient reports mechanical symptoms including intermittent catching, locking, and clicking. No history of acute trauma. Pain is described as a dull ache with sharp episodes during athletic maneuvers.
Clinical Examination Findings
Left hip examination reveals restricted range of motion, particularly in internal rotation at 90 degrees of flexion. Positive FADIR test (Flexion, Adduction, Internal Rotation) reproducing groin pain. Positive FABER test (Flexion, Abduction, External Rotation) indicating potential labral pathology. Gait analysis shows no significant Trendelenburg sign. Neurovascular status intact distally.
Treatment Protocol
Conservative management initiated including activity modification, avoidance of provocative positions, and targeted physical therapy focusing on core stabilization and hip abductor strengthening. Non-steroidal anti-inflammatory drugs (NSAIDs) prescribed for symptom management. Consider intra-articular corticosteroid or hyaluronic acid injection if symptoms persist. Surgical consultation for arthroscopic labral repair and cam/pincer decompression if conservative measures fail.