Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic left hip pain, localized to the groin and lateral hip region. Symptoms are exacerbated by prolonged standing, walking, and weight-bearing activities. Reports mechanical symptoms including catching, locking, and occasional instability. No history of acute trauma. Pain is described as a dull ache with sharp episodes during rotational movements.
Clinical Examination Findings
Left hip examination reveals limited internal rotation and abduction. Positive impingement signs (FADIR and FABER tests) noted. Gait analysis demonstrates an antalgic limp favoring the right side. Trendelenburg test is positive on the left, indicating abductor weakness. Palpation reveals tenderness over the greater trochanter and anterior hip capsule. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated including activity modification, physical therapy focusing on core and abductor strengthening, and non-steroidal anti-inflammatory drugs (NSAIDs). Discussion regarding potential intra-articular corticosteroid or viscosupplementation injections. Long-term surgical options, including periacetabular osteotomy (PAO) or total hip arthroplasty (THA), discussed based on radiographic severity and cartilage status.