Endurance Sports Medicine by Timothy L Miller

Endurance Sports Medicine by Timothy L Miller

Author:Timothy L Miller
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham


History

Endurance athletes presenting to the clinician should be thoroughly evaluated in a systematic fashion. The chief complaint is frequently helpful in determining the most important part of the history and physical examination: Is the source of pain coming from inside (intra-articular) or outside (extra-articular) the hip joint? Although the typical patient complains of groin pain, illustrated by a “C” sign or a “between the fingers” sign (Fig. 13.5a, b), several different locations in and around the hip may be perceived for true intra-articular hip pain [47]. Patients may complain of pain in the groin (55–92 %), lateral hip (59–67 %), anterior thigh (35–52 %), buttock (29–71 %), low back (23 %), knee and below (22–47 %), or foot (2 %) [47].

Fig. 13.5(a) Left hip “C” sign, indicative of intra-articular source of hip pain. (b) Left hip “between the fingers” sign, indicative of intra-articular source of hip pain



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