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DOI: 10.2519/jospt.2011.0406
The patient was a 41-year-old man who was referred to a physical therapist with a chief complaint of right anterior hip/groin pain. The patient’s symptoms started 6 months earlier after dunking a basketball and were exacerbated while moving boxes 4 months later. The patient reported morning stiffness and constant pain that was exacerbated by squatting and prolonged sitting. Right hip range of motion was limited to 85° of flexion and 0° of internal rotation with a painful “pinching” sensation noted in the groin region at end range of motion; these range-of-motion findings were consistent with a clinical diagnosis of hip osteoarthritis. Given the lack of improvement with conservative measures, the patient was referred to an orthopaedic surgeon. Radiographs revealed decreased offset of the femoral head-neck junction, greater on the right than on the left, which is suggestive of cam-type femoral acetabular impingement. Moderate degenerative osteoarthrosis of the right hip was also noted. The patient’s symptoms improved for 3 weeks following a corticosteroid injection, but then returned to baseline. The patient subsequently underwent a Birmingham hip resurfacing procedure. In this patient, conservative management of his hip osteoarthritis may have been complicated by the presence of femoral acetabular impingement.
J Orthop Sports Phys Ther 2011;41(3):201. doi:10.2519/jospt.2011.0406
KEY WORDS: Birmingham hip resurfacing, radiography
The patient was a 41-year-old man who was referred to a physical therapist with a chief complaint of right anterior hip/groin pain.
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