Perspectives on orthopaedics

Hip pain in a young adult – 3

Michael I Solomon



A 38-year-old patient presents with a history of left groin pain exacerbated by weight bearing. What causes of hip pain should be considered in this case?

Article Extract

Case presentation

A 38-year-old man presents with left groin pain of two months’ duration. The pain is exacerbated by weight bearing activities and he is now experiencing occasional night pain. His general health is good, although he admits to drinking six schooners of beer after work each day. He is a keen recreational deep sea diver.

On examination, the patient walks with a mild antalgic gait and he has a positive Trendelenburg sign. Examination of his left hip reveals irritability, particularly in rotation. The remainder of his examination is unremarkable.