Subjective Ax -
28 YO M
5-6 months ago since returning to muay thai ; high volume/intensity sessions (kicking/sparring)
Client began to feel pain in anterior hip and lower back through both R & L sides
C/O delayed pain at night and morning stiffness
AGGS - round kick/frog stretch
Objective Ax -
Supine SLR - discomfort lower back (right/left - 3/10 pain)
PROM hips (Flexion/IR/ER) - ''pinching sensation in EOR hip flexion/IR (R>L)
MMT - discomfort in both end range/mid range hip flexion in anterior hip
MRI imaging -
R Hip - Linear increasd signal within the anterior/inferior labrum ; paralabral effusion noted suggestive of labral injury
L Hip - Grade 2 muscular tear w/ associated haematoma with the anterior aspect of the upper thigh at the vastus medialis & rectus femoris insertion sites noted ; linear increased signal intensity within the posterior aspect of the labrum with associated minimal traces of fluid noted suggestive of nondisplaced posterior labral injury
What is your diagnosis?