buckeye
Posts: 175
Joined: May 24, 2007
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I have a high school female soccer player with an injury in mid-August resulting in anterior hip pain in the dominant leg. She cannot recall the mechanism of injury. Has been treated conservatively with rest. Referred to a general surgeon to rule out hernia. Now referred to PT for rehab. MRI shows minimal fraying of anterior labrum, rectus femoris tendinitis, and AIIS apophysitis.
Pain is anterior hip and groin. The athlete is able to walk at regular speed without pain but has pain with fast walking or stairs. No increase in pain with prolonged single leg stance. She can squat through about 60° of knee flexion without pain. Passive hip flexion beyond about 80°, abduction beyond about 20°, and FABER produce severe pain at the anterior hip and groin with moderate guarding. Supine active SLR is painful. Hip ROM grossly WNL. Prone knee flexion is to about 80° and produces severe pain.
I am concerned about duration of symptoms and pain with the passive range at the hip. Physician is asking consideration for ionto with dex. My plan is progressive exercise without pain with passive modalities prn for pain control.
Any thoughts from the experts? Is there significance to the labral fraying?
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Athlete with anterior hip pain - 
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