Adult hip and surgery Flashcards Preview

MSK wk 4 > Adult hip and surgery > Flashcards

Flashcards in Adult hip and surgery Deck (13)
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1
Q

CAM deformity in the hip- what is it?

A

more of a graduated line rather than a large head and a smaller neck

2
Q

Pincer deformity in the hip- what is it?

A

acetabulum comes out further than it should would leg externally rotate it will dig into the leg

3
Q

In the superficial zone what way do the fibres run

A

parallel to the surface

4
Q

What is protrusio?

A

The head of the acetabulum migrates inside the pelvis

Most common cause is OA

5
Q

What is the management of a blocked movement?

A

shave off bump and oeteotimised the joint

6
Q

What to do about failure of bone? (AVN)

A

If caught early - drill in side of femur and created a hole which receives pressure and allows blood supply to come back( only if not sign of bone collapse)
If late- with sclerosis, osteophytes etc then just a hip replacement

7
Q

Conservative maanagment of hip OA

A

WT loss
analgesia-local steroid into hip(transient benefit)
physiotherapy

8
Q

When is a local steroid injection into the hip beneficial?

A

to differentiate between hip and back pain

9
Q

For most patients undergoing a THR

A
Over 65
reduced walking distance
pain not controlled by analgesics
night pain
impairment of activities of daily living and hobbies
10
Q

What are the risks following a THR

A
Blood loss
CVT/PE
Nerve damage
Dislocation
medical complications
11
Q

How long does a THR last on average?

A

15-20 y

12
Q

What is the most common way the THR fails

A

loosening of the stem ( macrophage “gobbling up”)

13
Q

Trochanteric bursitis

A

inflammation of the bursa
usually self limiting
Non-infective
can usually be treated conservatively +- infections
tend to be sore when they lie on it at night- pain is the trochanteric region not the groin