A Potential Non Invasive Solution To A Reoccurring Problem - Page #1

Author: Lauren Greene, MD
Co Author #1: Nicholas Moore, MD

Patient Presentation:
66 year old female presented to sports medicine clinic complaining of right hip pain after she fell down steps and hit the proximal lateral aspect of right hip.

The injury caused significant pain and soft tissue swelling over the peritrochanteric region. She denied any radiation of pain or pain with mobility. She denied any loss of sensation, numbness, tingling, or weakness.

Physical Exam:
Gen: alert, oriented, no acute distress
Right hip:
Inspection/palpation: large lateral soft tissue swelling, positive ecchymosis and deformity, mild tenderness to palpation over greater trochanter, non-tender anterior superior iliac spine, sacroiliac joint and anterior flexor bundle.
Active range of motion: 100 flexion, 0 extension, 60 abduction, 20 adduction, 30 internal rotation, 45 degrees external rotation
Strength: 5/5 flexion, extension, abduction, adduction
Special test: negative FADIR, negative FABER, negative forced flexion, negative Stork testing
Neurovascular: pulses palpable, equal bilateral dorsalis pedis and posterior tibialis pulses, sensation intact in all distributions throughout lower extremity
Integumentary: positive ecchymosis over right lateral hip, no erythema, no warmth, no rash or skin lesions.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415

Website created by the computer geek