A labral tear or inflammatory arthritis?

This patient seeks a second opinion to finally get to the bottom of his ongoing deep hip pain

Michael, a 28-year-old teacher's assistant, initially presented to another GP practice with moderate-to-severe left hip pain after a long walk five months ago.

His symptoms indicated a possible trochanteric bursitis in the absence of tenderness on the trochanteric bursa.

There was no history of illicit drug use or heavy alcohol consumption to suggest a possible diagnosis of avascular necrosis of the hip. Left hip ultrasound and X-ray showed no bony abnormalities.

Michael was given a steroid injection into the trochanteric bursa under ultrasound