Identification of abnormal hip motion associated with acetabular labral pathology.

Austin AB, Souza RB, Meyer JL, Powers CM

The purpose of this case study was to explore the extent to which abnormal movement at the hip is a possible contributor to acetabular labral pathology. The patient was a 25-year-old female with a 4-year history of anterior-medial groin pain. Based on a combination of the clinical examination and magnetic resonance imaging findings, she was given a diagnosis of acetabular labral tear by her orthopaedic surgeon and referred to a physical therapist for assessment. Movement analysis during a single-leg step down, running, and a drop jump maneuver revealed excessive hip adduction and internal rotation on the involved side, which reproduced her symptoms. Application of a hip-strapping device resulted in decreased hip adduction and internal rotation, and an immediate decrease in symptoms.

The reduction in pain secondary to controlling hip motion suggests that excessive frontal and transverse plane hip motions may contribute to FAI. Accordingly, physical therapy intervention aimed at controlling and reducing hip adduction and internal rotation during activities may be indicated in patients who present with this movement pattern associated with anterior hip/groin pain.

Journal of Orthopaedic and Sports Physical Therapy, 2008, 38(9), 558-65

Link to Abstract

Gluteal tendinopathy

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