What physical examination finding is consistent with a hip labral tear?

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A clicking sensation with specific hip movements is a classic physical examination finding associated with a hip labral tear. The labrum plays a crucial role in stabilizing the hip joint, and when it is torn, it can cause the femoral head to move abnormally within the acetabulum, leading to a clicking or popping sound or sensation. This symptom often occurs during activities that put stress on the hip, such as hip flexion, internal or external rotation, and certain weight-bearing movements.

In contrast, the other symptoms mentioned relate to different conditions or physical issues. For instance, calf swelling is more indicative of conditions affecting the lower leg, such as deep vein thrombosis or muscle injury, rather than hip problems. Quadriceps weakness typically indicates an issue with the knee or the quadriceps muscle itself rather than being a sign of a hip labral tear. A leg length discrepancy could suggest structural abnormalities in bones or joint issues but is not a direct indicator of a labral tear in the hip. This makes the clicking sensation the most relevant finding when suspecting a hip labral tear.

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