hip OA

Question 1

Describe the prevalence of hip OA

Answer 1

• most common in adults older than 60
• 28% of adults with OA over the age of 45 will have hip OA
• females slightly greater than males

Question 2

What are the risk factors for hip OA

Answer 2

• Age the older you get the greater the risk
• previous history of development disorders, congenital dislocation, legs-calve-perthes, SCFE
• history of fractures
• high risk athletes
• Obesity is questionable

Question 3

Diagnostic imaging criteria for hip OA

Answer 3

• normal 3-5 mm of space between head of femur and acetabulum
• mild less than0.5 mm change
• moderate less than 2.5 mm with possible osteophyte development
• severe less than 1.5 mm with sclerotic hardening

Question 4

what are the Altman’s criteria for hip OA dx

Answer 4

• hip pain
• radiographic evidence of osteophytes
• erthrocte sedimentation rate (<20mm.hr)
• radiograph narrowing
• pain with hip IR
• IR less than 15
• morning stiffness less than 60

Question 5

what is the capsular pattern of hip

Answer 5

IR loss greatest followed by ABD and then FLEX

Question 6

what are the CPR criteria for hip OA

Answer 6

• painful squatting
• painful flexion
• scour test that produces pain
• painful extension
• IR less than 25
  Sutlive 2008

Question 7

what are the OARSI recommendations for hip and knee OA

Answer 7

1. patient directed interventions better than clinician directed
2. routine follow up for clinical status
3. PT with HEP
4. routine exercise including water based exercise for symptomatic patients
5. maintain proper weight
6. walking aides as needed
7. thermal modalities, ice or heat, helps
8. TENS can help with symptoms

Question 8

Siege 2015 made what recommendations regarding conservative care for hip OA

Answer 8

Exercise in connection with Eduction regarding OA progression and symptoms
- found that theses people had greater delay to THA than education alone

Question 9

Abbott 2013 made what recommendation regarding conservative care for hip OA

Answer 9

• exercise and manual therapy were superior to no therapy in reduction of pain and increase in function
• exercise was the best intervention

Question 10

what is the consensus regarding manual therapy for hip OA

Answer 10

manual therapy improved pain for up to 1 year and function particularly when used with exercise