This month, Dr Solomon presents another example of hip joint disease in a young adult. What treatment options are available to this patient, and what results can be expected?
History and examination
A 38-year-old man presents with right groin and thigh pain that radiates to the knee. The pain affects all activities of daily living and he is experiencing pain at rest. He suffered from Perthes’ disease at 10 years of age.
Examination reveals an antalgic gait with a positive Trendelenberg sign. There is complete loss of internal rotation of the right hip and he has a 10o fixed flexion deformity with restriction in flexion and abduction compared with the opposite side.