Common conditions of the hip Flashcards

(33 cards)

1
Q

main blood supply to the positer hip is the

A

meidan femoral cirucmelx arety

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2
Q

main blood supply to the antiero hip

A

laterla femoral circumflex artery

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3
Q

trochanteric brutiisis is

A

inflation of the bursa betwen hip adductor and the tensor fascai latia iliotibal tract

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4
Q

cause of trochanteric brustisi

A

trama
over use - atheleos e.g runner
abnorla movement - scolosis
local proabel s- muscle wasting follwoing surgery, total hip repalcemt , oa

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5
Q

presentation of trochanteric burstisi is

A

pain
point of tenoerso
hip

tenderonss at greater tubeoruissy
pain on abduction

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6
Q

imaging of trochantic brusatisi is

A

x ray
mri
ulrtous - can also used for injection

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7
Q

trocahnteric bursitis treattment is

A

nsaisd,
physiotheryapy
corticosterods
sugery - bursecomy

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8
Q

avascular necrosis

A

death of bone due to loss of blood supply

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9
Q

avsucalr necosis mainly effct

A

males
35 - 50
bilatearl
multifocal

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10
Q

avaucler necoris risk factors are

A

trama - radiation , trama, disloacino, iatrogenic

systematic - idiopathi
hypercoganion states
steroids
haematoloical - sickle cell, lymphoma, leukaemia
caisson’s disase
alcholsim

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11
Q

avual necosois leads to

A

collpase of join and chonal fracure due to cell death

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12
Q

sympon of avuclar necosis

A

groin pain
pain walking uphill
limp

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13
Q

examion of avauclar neosissi

A

stiff and reduced range of motiion

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14
Q

treatment of avascular necosis is

A

reduce weight bearing
nsaids
biphospanates - controversial - help reduce bone remoddl thus cell use less oxygen
anticoalgion,
physio

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15
Q

treametn of avasuclar nocisis is

A

restore blodo though - core decompreion +/- vasculariseid graph
more lesion away from weight bearing area
total hip replacemetn

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16
Q

femoroacetabular impingemetn is

A

where either cam lesion or picner bocker hp flexion

17
Q

a cam leion in femoral acetabular imengme is

A

a lesion leading to decreaed head to neck reaito and aspehreical head

18
Q

an pciner lesion on the hip is

A

where the hip has a lesion an extra area of bone that increase the surface area

19
Q

femoral acumobar impenig increas

A

labal degeration and teral
cartilage damage and flap tear
hip osteoprososisi

20
Q

presentation of fai is

A

groin pain - which is worse with flextion

mechancial symptons
- block to movement
pain with certian manovers such as gettinog out of a chia
squatting
lunging

21
Q

test for fai is

A

reduce fleion and interal roti
fadir test
flexion aduction and interal roation causes pain

22
Q

invsion for fai is

23
Q

fai treametn is

A

activity modificiaon
nsaids
phsyiothearypy - corrects posture, sternghtsens muces around jiont

operative
artospy - shave down jiont and treat labil tearse
open sugeyr - reseion, periacterubalr ostey
hip arthopalsy

24
Q

labral tear is most comon in

A

females and can happen at all ages

25
cuase of labarl tear is
fai trama oa dysplasia collagen diease - eldher danlos
26
labal tears generally happen in teh
anterior superiro area
27
labral tear efect
all ages active femalse
28
cause of labl tear is
fai trama oa dyplaias collagen disase such as ehlers danlos
29
presentaion of labral tear is
groin or hip prain snappping jamming or locking
30
tests for labal tear is
faber - flextio , abdution , exteranl roatio
31
investion for labl tear is
x ray - for oa mri - dignioaic incjeio - local anehtsia
32
treatmetn of labal tear is
arthospy nsaids , steroids
33