This case involves the failure to diagnose a hip fracture in a 49-year-old female who had recently started running and acutely developed severe groin pain. The patient was seen only by a physician assistant who performed a basic physical exam and did not order any supporting imaging studies. The patient was advised to use heat on the afflicted area and take NSAID pain medications as needed. She was not advised to avoid weight bearing activities and no crutches were provided or recommended. The client continued to walk on her leg and two weeks later she sustained a displaced hip fracture. Due to the delay in treatment, the patient developed avascular necrosis and required a complete hip replacement.