Author: Hye-Jin Yun
Co Author #1: Haemi Choi, MD
Senior Editor: Adam Lewno, DO

Patient Presentation:
A 16-year-old female dancer presented with right-sided groin pain for 1.5 months.

History:
A 16-year-old female dancer with notable past medical history of anemia and dysmenorrhea presented with right-sided groin pain for 1.5 months. She initially experienced soreness along her right groin after stretching during a dance class. She denied any recent injury or trauma. Pain was described as achy and sharp that worsened with any movement of her hip, standing, walking, dancing, and changing positions. She also reported that her pain kept her from sleeping at night.

She also reported developing a sharp pain in her right lower back 2 weeks prior to presentation with an associated tingling sensation down her lateral leg stopping at her calf. She was evaluated at an urgent care center where hip x-rays were found to be normal. She was discharged with the diagnosis of a groin strain and provided with Naprosyn and Flexeril. Due to her continued pain she was referred to the sports medicine clinic for further evaluation of her hip pain.

Physical Exam:
Vitals were within normal limits.

Patient had a slightly antalgic gait, favoring the right hip. She had a normal heel and tiptoe gait.

Upon palpation, the patient was tender within the right piriformis, right proximal rectus femoris, and along her right superior pubic ramus. She also had a mild tenderness along the right lumbar paraspinal along L4-L5.

She had a full internal and external hip range of motion bilaterally and normal lumbar range of motion. She had a normal L1-S1 strength bilaterally with intact gross sensation.

She had mild pain with the log roll maneuver on the right. Her Trendelenburg test was negative. There was pain with FADIR on the right but FABER test was negative bilaterally. Straight leg raise and seated slump tests were negative bilaterally. The knee and ankle reflexes were normal and symmetric bilaterally. Fulcrum testing on the right was negative. Her posterior pressure and sacral pressure tests were negative bilaterally.

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