Hip pain · difficulty walking · tenderness along the anteromedial thigh and groin · Dx?

A 14-year-old Caucasian boy presented to our clinic with a complaint of left anterior hip pain. The patient had been running during a flag football match when he suddenly developed a sharp, stabbing pain in his left hip. He said he felt a "pop" in his left groin while his left foot was planted and he was cutting to the right.

Intraarticular cortisone injection for osteoarthritis of the hip. Is it effective? Is it safe?

Osteoarthritis of the hip is a significant source of morbidity in the elderly. Treatment guidelines are available for the management of hip osteoarthritis, but these do not address the application of intraarticular corticosteroid injection. The intraarticular injection of corticosteroid is used in the management of other large joint osteoarthritic diseases and is well studied in the knee, however, this data cannot be used to make sound clinical decisions regarding its use for hip osteoarthritis.

Travel medicine and the international athlete.

International travel for athletic competition presents unique challenges for athletes and medical staff. This article provides strategies for all phases of an international trip, including travel preparation, travel, competition, and post competition. Adequate planning should encompass the needs of all members of the traveling team (athletes and nonathletes), proper documentation and licensure, emergency planning, venue set-up, and appropriate medical supplies and equipment.

Ehlers-Danlos syndrome in athletes.

Ehlers-Danlos syndrome (EDS) should be considered in the evaluation of the hypermobile athlete. EDS is a group of inheritable connective tissue disorders affecting collagen and is characterized by articular hypermobility, skin extensibility, and tissue fragility. The most common findings in the active athlete are joint pain or instability, tissue fragility, or joint dislocations.

Exertional syncope and presyncope: faint signs of underlying problems.

Physicians often see patients who have syncope or presyncope, but episodes associated with exercise are uncommon. Transient syncopal episodes usually require minimal evaluation and intervention. Most cases of exercise-associated syncope have neurocardiogenic origins and are benign, but fainting may signal a potentially fatal underlying problem.