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Right Lower Limb Shorter Than Left. Unable To Change Limb Position Without Pain, Tender Groin Area, Pain In Hip. Advice?
- the right lowwer limb is noticeably shorter than the left. - The right limb is externally rotated , and the patient is unable to change the limb position without considerable pain . - on palpation , the groin region is tender , but no swelling is obvious . - passive movement of the hip causes extreme pain, especially upon external an internal rotation . - WBC is 20,000/mm - Hemoglobin (Hgb) is 9.8 gm/dl
Wed, 2 Apr 2014
In a patient presenting like this one must exclude septic arthritis of the hip joint which requires immediate incision and drainage.
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