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Views: 160 - Replies: 2
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#1
13-06-2008, 08:39 AM
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Groin pain
Please could anyone help with this patients of mine.
38 year old male. 18 month history of left groin pain. Was playing alot of football and keen on fitness work. Agg. kicking, walking, running, aerobics. Affected side Objective. Weak Glut med and max. Favours TFL in side lying abduction. tight piriformis referred pain into medial proximal thigh EOR Balance eyes closed (R) 15 secs (L) 3 secs Sat on gym ball eyes closed (L) leg raised balance 20 secs. (R) raised (therefore balancing through left leg) = unable to balance. Symphisis pubis palpation = tender left side no referred pain Ab crunch with arms out to left (obliques) = Weak and reduced ROM compared with right Positive Hip impingement test ie. pain on hip flexion and adduction. Any thoughts?     
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#2
13-06-2008, 08:49 PM
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Re: Groin pain
It could be a labral tear or perhaps lig teres?
An MR arthrograph might be useful for diagnosis is hip Xrays appear normal...
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#3
16-06-2008, 06:54 PM
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Re: Groin pain
It could be neurogenic referred pain... Palpate his lumbar spine and look for unilateral stiffness at L1 or 2 on PA.
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