A 40-year-old man was referred to physical therapy by his primary care physician for a chief complaint of proximal left groin/quadriceps pain, which had been present for the past 3 months after initiating a running program. In addition to initiating a physical therapy treatment plan, the referring physician was consulted to discuss possible diagnostic imaging, primarily due to the worsening symptoms and loss of hip range of motion. Radiographic evaluation, including frog leg lateral and anterior-posterior pelvic views, demonstrated decreased femoral head-neck offset, with prominence of the femoral head-neck junction. The patient then underwent magnetic resonance imaging, which demonstrated some prominence of the anterolateral femoral head-neck junction. The patient was referred to an orthopaedic surgeon and subsequently underwent a proximal femoral osteoplasty with labral repair.

J Orthop Sports Phys Ther 2010;40(2):120. doi:10.2519/jospt.2010.0402

KEY WORDS: hip, magnetic resonance imaging, radiographic imaging