Common conditions of the hip Flashcards
(33 cards)
main blood supply to the positer hip is the
meidan femoral cirucmelx arety
main blood supply to the antiero hip
laterla femoral circumflex artery
trochanteric brutiisis is
inflation of the bursa betwen hip adductor and the tensor fascai latia iliotibal tract
cause of trochanteric brustisi
trama
over use - atheleos e.g runner
abnorla movement - scolosis
local proabel s- muscle wasting follwoing surgery, total hip repalcemt , oa
presentation of trochanteric burstisi is
pain
point of tenoerso
hip
tenderonss at greater tubeoruissy
pain on abduction
imaging of trochantic brusatisi is
x ray
mri
ulrtous - can also used for injection
trocahnteric bursitis treattment is
nsaisd,
physiotheryapy
corticosterods
sugery - bursecomy
avascular necrosis
death of bone due to loss of blood supply
avsucalr necosis mainly effct
males
35 - 50
bilatearl
multifocal
avaucler necoris risk factors are
trama - radiation , trama, disloacino, iatrogenic
systematic - idiopathi
hypercoganion states
steroids
haematoloical - sickle cell, lymphoma, leukaemia
caisson’s disase
alcholsim
avual necosois leads to
collpase of join and chonal fracure due to cell death
sympon of avuclar necosis
groin pain
pain walking uphill
limp
examion of avauclar neosissi
stiff and reduced range of motiion
treatment of avascular necosis is
reduce weight bearing
nsaids
biphospanates - controversial - help reduce bone remoddl thus cell use less oxygen
anticoalgion,
physio
treametn of avasuclar nocisis is
restore blodo though - core decompreion +/- vasculariseid graph
more lesion away from weight bearing area
total hip replacemetn
femoroacetabular impingemetn is
where either cam lesion or picner bocker hp flexion
a cam leion in femoral acetabular imengme is
a lesion leading to decreaed head to neck reaito and aspehreical head
an pciner lesion on the hip is
where the hip has a lesion an extra area of bone that increase the surface area
femoral acumobar impenig increas
labal degeration and teral
cartilage damage and flap tear
hip osteoprososisi
presentation of fai is
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
test for fai is
reduce fleion and interal roti
fadir test
flexion aduction and interal roation causes pain
invsion for fai is
x ray
mri
fai treametn is
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
labral tear is most comon in
females and can happen at all ages