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The patient was a 20-year-old female gymnast complaining of lateral hip pain, posterior to the greater trochanter, that increased with hip extension and external rotation. Over the course of 1 month during the season, pain progressively shifted to the groin and hip extension and external rotation became limited. A minimally painful exercise program was implemented in conjunction with a supportive hip spica, assisting extension and external rotation while limiting flexion and internal rotation during therapeutic exercise. The resulting implementation of a hip spica is a novel way to reduce pain and improve function to augment current conservative treatments.
Greenwood is with the Medical College of Wisconsin, Milwaukee, WI, USA. Giblin and Gillette are with the University of Wisconsin-La Crosse, La Crosse, WI, USA.