Differential diagnosis for hip pain. Your older patient has a minor incident- missing the bottom step, stumble at night on the way to the bathroom- or you have a high volume athlete like a long distance runner who comes to see you for anterior groin pain. In the older patient is this simply a flare up of hip OA? In the younger patient is this simply the beginning of some hip OA or a flare up of anterior hip pain? What about a stress fracture- which would change your plan of care in terms of loading. Learn about the fulcrum test would could be one of the pieces of information that can help you decide whether further investigation is indicated for your patient with hip pain to allow you to work to top of scope and help your patients Monday morning!
