26 Year Old Female Patient with Left Sided Trauma

Patient Overview

A 26-year-old female sustained trauma to the left side of her body resulting from an accident. She fell in a seated position.

Initial Symptoms

• Following the injury, any movement caused pain and sidelying was impossible due to pain.
• Unable to move her left leg and any hip adduction and internal rotation caused intolerable pain.

Initial Treatment

• Two weeks of bed rest.
• Transitioned to using a walker for mobility after the initial rest period.
• Now using a single crutch for support after three weeks.

Symptoms Progression

• No pain while sitting.
• Burning pain experienced when standing, particularly at the left sacroiliac joint.
• Groin pain with full weightbearing.
• Able to change position from supine to sidelying without pain.
• Difficulty initiating a straight leg raise from supine independently.
• Able to complete a straight leg raise after passive initiation.
• Tolerable pain with adduction and internal rotation of the hip.
• No reported difficulties with bowel movements or bladder control.

MRI Findings

MRI is done after 3 weeks of injury.