Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chronic history of left hip/thigh pain and an antalgic gait. Symptoms have been progressive over [Number] weeks/months. Denies acute trauma. Pain is exacerbated by activity and relieved by rest. No systemic symptoms of fever or weight loss.
Clinical Examination Findings
Left hip examination reveals limited internal rotation, abduction, and flexion. Obligatory external rotation noted during passive hip flexion (Drehmann sign). No signs of erythema, warmth, or localized tenderness over the greater trochanter. Neurovascular status intact distally.
Treatment Protocol
Plan: Strict non-weight bearing status with crutches. Urgent orthopedic surgical consultation for stabilization (in-situ pinning). Pre-operative imaging (AP pelvis and frog-leg lateral radiographs) reviewed. Pain management initiated with NSAIDs as indicated.