Hip

Question 1

What does a positive trendelenburg test show?

Answer 1

The pelvis will dip on the unsupported side in a positive trendelenburg test
This is due to failure or weakness of the hip abductors on the opposite side!)

Question 2

At the end of every MSK examination what should you say?

Answer 2

I would like to examine the neuro vascular status of the joint/limb and examine the joint above and below

Question 3

How would you treat an extra capsular neck of femur fracture?

Answer 3

Dynamic hip screws

Question 4

How would you treat an subtrochanteric femur fracture?

Answer 4

Intramedullary nail

Question 5

How would you treat a young patient with an undisplaced intracapsular neck of femur fracture?

Answer 5

Open reduction, internal fixation and Cannulated hip screws (dynamic hip screw)

Question 6

How are intracapsular NOF fractures classified?

Answer 6

Using the Garden classification

1,2 give a screw, 3,4 do some more

Question 7

How would you treat an intracapsular NOF fracture Garden classification 1 or 2?

Answer 7

Open reduction, internal fixation with screws

Question 8

How would you treat an intracapsular NOF fracture Garden classification 3 or 4?

Answer 8

If <55yrs: open reduction, internal fixation with screws (follow up in OPD and do arthroplasty if AVN develops)

If 55-75: total hip replacement

If >75: hemiarthroplasty (cemented or uncemented)