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Orthopedics & Traumatology

Primary Osteoarthritis, Right Hip

ICD-10 Code
M16.11_2

Comprehensive clinical diagnosis and template for Primary Osteoarthritis, Right Hip.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with chronic, progressive right hip pain, localized to the groin and lateral hip, exacerbated by weight-bearing activities and prolonged standing. Reports morning stiffness lasting <30 minutes, improved with mild activity. Denies trauma, fevers, or radicular symptoms. Pain interferes with activities of daily living and sleep.

Clinical Examination Findings

Right hip examination reveals antalgic gait. Palpation demonstrates tenderness over the greater trochanter and groin. Range of motion (ROM) is restricted in internal rotation and abduction, with crepitus noted on passive manipulation. FABER and FADIR tests are positive for pain. Neurovascular status is intact distally.

Treatment Protocol

Conservative management initiated: weight-bearing modification, physical therapy for abductor strengthening and ROM maintenance, and non-steroidal anti-inflammatory drugs (NSAIDs) as needed. Discussed potential for intra-articular corticosteroid or viscosupplementation injections if refractory to conservative measures.

Detailed clinical guide coming soon.