Author: Rohan Moffatt, MBBS
Co Author #1: Dr. Andrew Tucker
Eighteen year old male cross country student athlete presented with dull right hip pain for two weeks. His pain was exacerbated by running and was alleviated with two weeks of activity modification. This included non-weight bearing cross training on the stationary bike and elliptical machine. He attempted to run after the two weeks of cross training but had to stop due to resumption of pain. The pain was located on the lateral aspect of the right hip and radiated down the thigh. He denied any traumatic incident while running. He usually runs up to sixty five miles per week. He reportedly increased his weekly mileage by an additional five miles prior to seeking medical attention. He had a history of right hip flexor muscle strain many years ago which completely resolved. He mentioned that his older brother, who is a collegiate cross country runner, experienced a similar lower extremity pain two years prior.
The student athlete's gait was normal. The heights of both iliac crest were symmetrical. There was some discomfort with one leg hop test. Range of motion testing of the right hip was normal, painless and comparable to the left side in the seated position. Lower extremity strength testing was normal with no recreation of pain. There was excellent right hip range of motion while lying supine with fully forced internal rotation being painful. There was no pain with sitting up or with bilateral straight leg raise testing. Torque testing of the right hip was normal. Fulcrum test was negative.
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