The patient was a 48-year-old man serving in a deployed combat setting, who was referred to a physical therapist for evaluation of progressively worsening left hip and left wrist pain. Two weeks prior to the physical therapist's evaluation, the patient reported falling off a staircase from a height of 1.5 m and landing on his left hip and left outstretched hand. A physician had evaluated the patient the day after his fall and ordered hip radiographs, which were interpreted as negative for a fracture. The patient was diagnosed as having a left hip and left wrist sprain, prescribed a nonsteroidal anti-inflammatory medica-