Pediatric Clinical Decision Making

Victor is a 12-year-old male who presents with a limp and groin pain. The hip rests in external rotation, and hip flexion produces obligatory external rotation. Which of the following should the physical therapist initiate FIRST?

A) Begin hip strengthening and gait training

B) Stretch hip internal rotators and adductors

C) Make the patient non–weight bearing and refer urgently

D) Initiate aquatic therapy for pain-free ROM

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