4th Qtr 2016 Physician MSK (Joint) Case Study#5
56yof Total Hip Arthroplasty (27130)
CIGNA Commercial
LOV: 10/16/16
C/O severe “10/10 pain” in the right hip and groin for the last 6 months, which is activity related and also occurs at rest.
Prior treatment has included NSAIDS, physical therapy, weight loss, and activity modification for > 3months without relief.
There is no history of previous trauma or congenital hip conditions.
PE: painful active and passive ROM of the hip with crepitation, 0 degrees internal rotation and 20 degrees external rotation with a 15 degree flexion contracture and antalgic gait .There is no leg length discrepancy.
Radiographs reveal right hip osteoarthritis with joint space narrowing
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