The Limping Adolescent - Page #1
 

Author: Nathan Fitton, DO
Editor: Margaret Gibson, MD
Senior Editor: Margaret Gibson, MD
Editor: Warren Bodine, DO
Senior Editor: Margaret E. Gibson, MD

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

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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