Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right hip pain and an antalgic gait. Symptoms exacerbated by weight-bearing. No history of recent trauma. Denies fever, chills, or systemic symptoms. Pain radiates to the medial aspect of the right knee.
Clinical Examination Findings
Right hip exam reveals limited internal rotation, abduction, and flexion. Obligatory external rotation noted during passive hip flexion (Drehmann sign positive). Tenderness noted over the anterior hip joint. Neurovascular status intact distally.
Treatment Protocol
Immediate non-weight bearing status initiated. Urgent orthopedic surgical consultation for in-situ percutaneous pinning. Pain management with scheduled analgesics. Pre-operative NPO status confirmed.