Hip Flashcards Preview

CD2203- Final > Hip > Flashcards

Flashcards in Hip Deck (40)
Loading flashcards...
1

common age for transient synovitis and legs-calve perches disease and slipped capital femoral epiphysis

transient synovitis- 2-10

Legg-calve-perthes- 2-8

slipped capital- 10-14

2

Common age for femoral neck stress fx, snapping hip, AVN, OA

neck fx- 14-30s,65+
Snapping hip- 20-30s
AVN- 20-40
OA- 30s-60

3

What is the lig ant, inf, and post of hip and what do they limit

ant- Iliofemoral (limits hyperext)

inf- Pubofemoral (limits hyperabduction)

post- Ischiofemoral (limits hyperextension)

4

When is there a loss of abduction and int rot what does it indicate

hip disease

5

What are the red flags of the hip

-Rheumatologic conditions
-Inf
-Tumors
-stress fx/ any fx
- AVN, LCP, SCFE
-Congenital dysplasia of hip
-AAA

6

What % of hips display abnormalities and have labral lesions

70%!

7

What is the potential series of events that lead to LBP due to reduced hip motion

- reduced hip motion --> +/- capsul stiffness --> altered loading --> tissue stress/sensitizations

8

What are the mc hip probs associated with cLBP

hip jt pain, morning stiffness, pain w int rot

9

hip spine syndrome in elderly aspects

limited hip mobility and rom (surgical hip correction can positively influence the LBP)

10

What type of OA is LBP a poor prognostic factor for

hip oa

(but not knee oa)

11

What is the presentation and cause of myositis ossificans

Damage to mm with hematoma due to forceful stretching after injury, deep massage etc

-Direct blow followed by swelling and decreased ability to flex the knee

12

Hip pointer- onset/cause, treatment, prognosis

Direct trauma/fall on hard surface (disabling contusion of iliac crest)
tx- modalities/rest/ice/rom

prog-3weeks

13

Avulsion/apophyseal injury- cause, dx, tx

-skeletally immature its, any mm attachment, eccentric force

dx- pain/bruising + x ray
Tx- modalities/rest/ice/rom

14

presentation of post hip dislocation and complications associated

flex/adducted/int rot
*disclocation is med emergency*

complications- fx, oa

15

causes of hip instability and symptoms

causes- repetitive microtrauma from axial loading/ext rot, generalized lig laxity, collagen disorders

symptoms- pain, psoas/ITB snapping/ apprehension/ recurrent instability

16

What are 3 types of bursitis

Trochanteric

Ischial (direct blow, prolonged sitting)

Iliopectineal (deep to psoas tendon)

17

Symptoms of Greater trochanteric pain syndrome

-chronic contnous or intermittent pain
-increased pain w activity
-local palpation of GT area recreates pain
- supine resisted hip ext rot
-single leg stance

18

common demographic for gluteal tendinopathy

mc females 40+
in 35% of those w lbp

19

tx of bursitis/gtps/gluteal tendinopathy

anti-inflammatory measures (rest/ice/modalities), soft tissues work, corticosteroid inj

20

Snapping Hip syndrome- presentation, pathology

pres- snapping sensation with fear of dislocation

Pathology- Tendons become inflamed or irritated from rubbing over burs/bony prominances (mc GT)

21

Adductor strain- cause, tests, risk factor

cause- forceful contraction in stretched pos (prox damage)

tests= direct palp*, fabre, resisted adduction

risk- decrease bilateral him ROM

22

Hamstring strain- MOI, what type of injury has longer recovery

MOI- forced flexion of hip+ knee extension or excessive contractile force

More prox the injury= longer recovery

23

moi of piriformis syndrome and features

moi- contracture/spasm, prolonged ext pressure, congenital variations in sciatic n, piriformes hypertrophy/fascia changes

symptoms- buttock pain, pain w sitting, tenderness of sciatic notch, pain in piriformic activity

24

pathology and presentation of sports hernia

path- bulge or post inguinal wall hernia without presence of true hernia. Abnormalities of RA, partial avulsion of IO, abnormality of EO

Presentation- high performance athletes, inguinal canal pain, dilated superficial inguinal ring, increased pain w coughing/straining/palp
pain increases 6-24hrs after strenuous activity

25

Assessment of sports hernia

-Squeeze knees together while supine w knees bent
-Squeeze feet together while supine
-Faber, faddir

26

Ostetis pubis- presentation, assessment, what is diagnositic

-Forced adduction/ pain w activity

assessment- palp, compression via ASIS

dx- >10mm widening at pubis, irregularity and sclerosis of pubic margins

27

Hip stress fx- presentation, Mechanism, Assessment

pres- Insididous, deep ant pain w weight bearing, night pain

Mech- Osteoclast>Osteoblast

Assess- pain at end of flex/int rot, x ray

28

Risks of hip fxs

Osteopenia/osteoperosis, malunion, AVN, biomech probs

29

presentation of hip oa

-middle age/elderly
-moderate ant/lat hip, buttock, groin, knee pain
-morning stiffness <1hr
-Restricted int rot, flex, abduction

30

Hip Rheumatism- pop, presentation, lab reults

pop- women 25-55, bilateral pain, periarticular swelling

lab- elevated ear, rheumatoid factor

31

MOI of acetabular labral tears and diagnostic gold standard

MOI- rot + hyperextension or repeated pivoting/twisting

Dx- CT athrography

32

Symptoms and signs of acetabular labral tears

Symptoms- Ant groin pain, mech hip symtoms (click, lock, catch, instability), C sign (hand around hip= labra tear/fai)

Signs- Coxalgic limp, faddier, scour, log roll etc

33

FAI- presentation, S/S

mechainical impingement of femoral head or neck on acetabulum
-pain in ant aspect of hip, motion/pos related

S/S- Faddier, foot progression angle walking, max squat test

34

How to differentiate developmental dysplasia/dislocation (test)

Dysplasia- hips w pos Ortolani sign

Dislocation-hips w negative ortolan sign

35

MOI of developmental dysplasia/dislocation

Breech delivery
females
first born infants
pos fam history of DHD

36

Transient synovitis presentation

-child <10 years old with gradual pain in inguinal areas and difficulty bearing weight
-Insidious limp
-Pt. holds hip in ext rot/abd/flex

37

Slipped capital femoral epiphysis pop, pres, diagnosis

Occurs in rapidly growing/overweight children 8-17
-hx of minor trauma
-may present as knee pain alone

Xray dx

38

Legg calve perthes disease- pres (age), how can it present, s/s

males 5-7 mc
-bilateral 10%
-May present as knee pain
-Decreased hip abduction, int rot

39

x ray signs of LCP

present sign, fragmentation, collapse etc

40

Meralgia parenthetic- pres, moi

- Numbness/tingling of lat thigh due to compression of lat fem cutaneous nerve

moi- prolonged sitting, overweight/obese, tight belt, symptoms worse 1 inch inf to asis w pressure