Get A Kick Out Of This: National Women's Soccer Goalie And Division L Football Punter With Hip Pain

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Get A Kick Out Of This: National Women's Soccer Goalie And Division L Football Punter With Hip Pain - Page #1

Author: Tauqeer Qazi, MD Co Author #1: Tauqeer Qazi, MD Co Author #2: Jason Krystofiak, MD Co Author #3: Jason Womack, MD Senior Editor: Margaret Gibson, MD, FAMSSM Editor: Trenton Schmale, DO Patient Presentation: A 24-year-old female professional soccer goalie and a 19-year-old NCAA Division I football punter both with no prior hip pain having new onset subacute hip pain from repetitive kicking. History: Patient 1: 24-year-old female professional soccer goalie presented with atraumatic anterior right hip pain noticeable when kicking long balls. She felt a tightness in the anterior hip with a decrease in range of motion. She was modifying her training due to the persistence of her pain. ROS negative otherwise. Patient 2: 19-year-old NCAA Division I football punter presented with atraumatic right hip pain with hip rotation and lunging. With modified training and physical therapy for decreased range of motion, he continued kicking but had persistent pain. Tylenol and Advil provided no relief. ROS negative otherwise. Physical Exam: Patient 1: Normal inspection, tenderness over the proximal hip flexors, proximal adductors, and distal rectus abdominis, decreased range of motion with internal rotation, neurovascularly intact, and positive FADIR. Patient 2: Normal inspection, tenderness at the anterior inferior iliac spine (AIIS) and 2-3 cm below the AIIS, decreased range of motion with internal rotation, neurovascularly intact, and positive log roll and hip glide. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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