Hip Pain In A Weightlifter

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Hip Pain In A Weightlifter - Page #1

Author: Matthew Santa Barbara, MD Co Author #1: Samuel Chu, MD Senior Editor: Margaret Gibson, MD, FAMSSM Editor: Natasha Desai, MD Patient Presentation: 25 year old male recreational weightlifter with no significant past medical history presented with a chief complaint of right anterior hip pain. Physical Exam: GEN: well appearing, no acute distress Abdominal: non-tender, non distended NEURO: Strength: 5/5 bilateral hip flexion, hip adduction, knee flexion and extension, 1st toe extension, dorsiflexion and plantarflexion Sensation: intact L2-S1 dermatomes to light touch Reflexes: 2+ and symmetric bilateral patella and Achilles MSK: Lumbar Spine Inspection: normal lordosis Palpation: midline and paraspinals non-tender ROM: full in flexion, extension, rotation Special Tests: Seated Slump: negative bilateral, Femoral Nerve Stretch Test: negative bilateral MSK: Right Hip Inspection: no swelling or erythema right anterior hip/groin Palpation: non-tender over anterior superior iliac spine, femoral neck and adductors. No palpable inguinal hernia ROM: full in flexion, internal rotation reduced by about 5 degrees compared to the left hip, full external rotation. No pain with resisted adduction Special Tests: Log Roll: negative, Stinchfield: negative, Scour: positive, FADIR: positive, FABER: negative, Hop test: negative. No pain with resisted sit up Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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