Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a chief complaint of audible and palpable snapping sensation in the right hip, occurring primarily during flexion/extension or abduction/adduction movements. Symptoms are localized to the lateral/anterior aspect of the hip. Patient reports associated mild discomfort, intermittent pain, and occasional mechanical catching. No history of acute trauma, fever, or neurological deficits.
Clinical Examination Findings
Right hip examination reveals a reproducible snapping sensation over the greater trochanter (external) or iliopsoas tendon (internal) during active hip range of motion. No significant hip joint effusion or erythema noted. Trendelenburg test is negative. Passive range of motion is full and painless, though snapping is elicited with active maneuvers. Neurovascular status of the right lower extremity is intact.
Treatment Protocol
Conservative management initiated including activity modification, avoidance of aggravating movements, and a structured physical therapy program focusing on iliotibial band/iliopsoas stretching and hip abductor strengthening. Consider NSAIDs for inflammation and pain management. Follow-up in 6 weeks to assess progress; if refractory, consider corticosteroid injection or surgical consultation.