Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive left hip/thigh pain and an antalgic gait. Symptoms exacerbated by physical activity. No history of acute trauma. Denies systemic symptoms. Pain is localized to the groin/medial thigh.
Clinical Examination Findings
Gait: Antalgic, left-sided. ROM: Limited internal rotation of the left hip; obligatory external rotation noted with passive hip flexion. Tenderness: Mild over the anterior hip joint. Neurovascular: Distal pulses intact, sensation intact.
Treatment Protocol
Immediate non-weight bearing status (crutches/wheelchair). Urgent orthopedic surgical consultation for stabilization (in-situ pinning). Pain management with NSAIDs as directed. Monitor for contralateral hip involvement.