Hip Pain In A Teenage Motocross Rider - Page #1

Author: Eric Pettyjohn, MD
Co Author #1: Dr. Bryan Prine, MD, CAQSM
Editor: Mandeep Ghuman, MD
Senior Editor: Mandeep Ghuman, MD
Senior Editor: Mandeep Ghuman, MD

Patient Presentation:
A 14 year-old healthy male presented for evaluation of chronic, progressing right hip pain.

Patient presented 6 months after he fell off his motocross bike and landed on his right hip. He endorsed initial pain and swelling at the time as well as unremarkable x-rays from an outlying emergency room immediately after the event. Since then, he experienced progressively worsening pain that was exacerbated with weight bearing. Denies any previous treatment for his pain, or associated symptoms including fevers, chills, rashes, or other systemic symptoms.

Physical Exam:
GEN: Afebrile; vital signs stable.
GAIT: antalgic.
MSK: Right hip was tender to palpation at the anterior compartment. Range of motion was 30 degrees abduction, 10 degrees adduction, 40 degrees external rotation, and 20 degrees internal rotation. 5/5 strength with flexion, extension, abduction, and adduction. No associated erythema.
NEURO: Sensation normal.

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