Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of localized pain over the iliac crest following direct blunt trauma. Reports significant tenderness, exacerbated by hip flexion, trunk rotation, and ambulation. Denies radiation of pain, numbness, or paresthesia. Mechanism of injury consistent with direct impact during athletic activity.
Clinical Examination Findings
Physical exam reveals localized ecchymosis, edema, and point tenderness over the iliac crest. No palpable bony step-off or crepitus. Hip range of motion limited by pain; neurovascular status intact distally. Strength testing limited by pain on resisted hip abduction and flexion.
Treatment Protocol
Initiate RICE protocol (Rest, Ice, Compression, Elevation) for the first 48-72 hours. Prescribe NSAIDs for pain and inflammation management. Recommend protected weight-bearing with assistive devices if necessary. Transition to gentle range-of-motion exercises as pain subsides. Follow up in 1-2 weeks for reassessment.