Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic left hip pain, localized primarily to the groin, exacerbated by prolonged sitting, deep flexion, and internal rotation. Reports mechanical symptoms including intermittent catching, locking, and occasional sharp pain during athletic activity. Symptoms are progressive, failing conservative management including NSAIDs and activity modification. No history of acute trauma, radicular symptoms, or constitutional signs.
Clinical Examination Findings
Left hip examination reveals tenderness to palpation over the anterior joint line. Range of motion is limited in flexion and internal rotation. FADIR test (Flexion, Adduction, Internal Rotation) is positive, reproducing characteristic groin pain. FABER test (Flexion, Abduction, External Rotation) is positive for posterior/lateral discomfort. Impingement sign positive. Neurovascular status intact distally. Gait demonstrates a mild antalgic limp.
Treatment Protocol
Initiate physical therapy focusing on core stabilization, hip abductor strengthening, and pelvic tilt correction. Prescribe NSAIDs for inflammation control. Activity modification advised to avoid provocative positions (deep flexion/rotation). Consider intra-articular corticosteroid or hyaluronic acid injection for diagnostic/therapeutic purposes. If symptoms persist, discuss surgical options including hip arthroscopy for labral repair and cam/pincer osteoplasty.