The Limping Adolescent

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The Limping Adolescent - Page #1

Author: Nathan Fitton, DO Senior Editor: Margaret Gibson, MD, FAMSSM Editor: Warren Bodine, DO, FAMSSM Patient Presentation: A 12 year-old male presented during football season with right hip pain. History: A 12 year-old male presented to sports medicine with right hip pain in November of 2018. It was inconsistent with its timing over the last year but progressed recently unprovoked. He denied any inciting event or trauma. The pain is deep in the right hip and described as an ache. The pain was worse with prolonged standing, sitting, and walking. There was no radiation of the pain. He denied fevers, night sweats, weight loss, fatigue. Physical Exam: Gen: Alert and oriented x 3 Pulm: non labored, no distress Psych: insight WNL, mood WNL, memory intact MSK: Non-tender over greater trochanter, ASIS, iliac crest, sacral base and ILA B/L pes planus, genu valgum ROM: equal and symmetric hip extension (30 degrees) and flexion (110) along with internal and external rotation Strength 4-/5 B/L hip abduction, otherwise 5/5 RLE FABER: - FADIR: + Scour Test: - Modified Thomas Test: + Standing flexion: + L Left anterior innominate with long leg Stork: + L R on L sacral torsion Myofascial restrictions lumbar paraspinals, iliopsoas Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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