A 55-year-old patient presents with inner thigh pain following a fall three days previously when the involved leg was forced into abduction. You notice that the patient limped into the clinic, and your findings from the initial examination revealed palpable pain and a muscular defect over the mid-muscle belly of the adductor magnus on the involved side and evidence of significant ecchymosis in the same area. Other positive findings included pain with active hip abduction, abduction, and internal/external rotation and pain with passive hip abduction and external rotation. With strength testing, the patient demonstrated 5/5 strength with hip flexion, extension, external rotation, and abduction; but 4/5 with hip adduction and internal rotation. What is the MOST likely hypothesis at this stage for a possible diagnosis?
- Osteitis pubis
- A femoral neck stress fracture
- Hip adductor strain
- Pelvic sprain
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