Swing From The Hip: An Unusual Cause Of Recurrent Hip Pain In A High School Softball Player

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Swing From The Hip: An Unusual Cause Of Recurrent Hip Pain In A High School Softball Player - Page #1

Author: Stephen Luebbert, MD, MS Co Author #1: Brian W. Toedebusch, MD Senior Editor: Marc Hilgers, MD, PhD, FAMSSM Editor: Bret Jacobs, DO, MA, FAMSSM Patient Presentation: A 14-year-old female competitive high school softball player presented to a sports medicine clinic with left hip pain. History: A 14-year-old female competitive high school softball player presented to a sports medicine clinic with a 1-week history of acute left hip pain. Her past medical history included scoliosis but was otherwise negative with no prior surgeries, procedures, or prior hip injury or pain. She injured her left hip mid-swing and felt a pop in her hip with immediate anterior groin pain, needing assistance to exit the field. After a week of rest, pain improved and she attempted to return to sport. Her pain returned, and her athletic trainer referred her for evaluation. She could bear weight, but had pain with walking and climbing stairs. The pain centered over the left anterior hip, was non-migratory, and had no associated paresthesia or weakness. Physical Exam: Vitals were within normal limits. General physical exam was unremarkable. Musculoskeletal exam revealed a minimally antalgic gait. Slight tenderness to palpation along left hip flexor region. No pubic or greater trochanteric tenderness. Passive range of motion of left hip was 100 degrees of flexion, 60 degrees of external rotation, 20 degrees of internal rotation. Strength 5/5 with left hip flexion, left hip abduction, left hip adduction, knee extension, and knee flexion. Negative hip flexion, abduction, and external rotation (FABER) and hip flexion, adduction and internal rotation (FADIR). Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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