Fink Laura E, Morris Gerald W, Mansfield Linda A
Memorial Family Medicine Residency, South Bend, IN, USA. Email:
Memorial Family Medicine Residency, South Bend, IN, USA.
J Fam Pract. 2017 Nov;66(11):691-693.
A 14-year-old Caucasian boy presented to our clinic with a complaint of left anterior hip pain. The patient had been running during a flag football match when he suddenly developed a sharp, stabbing pain in his left hip. He said he felt a "pop" in his left groin while his left foot was planted and he was cutting to the right. The patient said this was followed by worsening pain with ambulation and hip flexion. The patient had considerable difficulty walking into the exam room. On physical examination, he had significant tenderness to palpation along the anteromedial thigh and groin. The patient's strength was 1/5 with left hip flexion. There was apparent muscle firing, but no significant leg movement. He had full passive range of motion and there was no soft-tissue swelling, erythema, or other integumentary changes.
一名14岁的白种男孩因左前髋关节疼痛前来我们诊所就诊。该患者在一场腰旗橄榄球比赛中跑步时，突然左髋部出现剧烈刺痛。他说当他左脚着地向右转身时，左腹股沟处感觉“啪”的一声。患者称随后行走和髋关节屈曲时疼痛加剧。患者走进检查室时非常困难。体格检查发现，沿大腿前内侧和腹股沟有明显压痛。患者左髋屈曲时肌力为1/5。有明显的肌肉收缩，但腿部无明显运动。他的被动活动范围正常，没有软组织肿胀、红斑或其他皮肤变化。
