Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right hip pain, localized to the groin and lateral hip, exacerbated by weight-bearing activities and prolonged sitting. Reports mechanical symptoms including catching, locking, and occasional instability. Pain is described as a dull ache with sharp episodes. No history of acute trauma. Symptoms are consistent with symptomatic acetabular dysplasia.
Clinical Examination Findings
Right hip examination reveals limited internal rotation and abduction. Positive impingement sign (FADIR) and positive FABER test. Gait analysis demonstrates a mild Trendelenburg sign. No evidence of neurovascular deficit in the right lower extremity. Radiographic findings confirm acetabular dysplasia with reduced lateral center-edge angle and increased acetabular inclination.
Treatment Protocol
Initial management includes activity modification, physical therapy focusing on hip abductor and core strengthening, and non-steroidal anti-inflammatory drugs (NSAIDs). Consideration for intra-articular corticosteroid or hyaluronic acid injections if conservative measures fail. Surgical consultation for periacetabular osteotomy (PAO) or hip arthroscopy discussed based on severity of dysplasia and cartilage status.