Hip conditions and surgery Flashcards Preview

Year 2 > Hip conditions and surgery > Flashcards

Flashcards in Hip conditions and surgery Deck (25):
1

Altered biomechanics of the hip is caused by which pathology?

Dysplasia of the hip

2

Which pathology can cause block to movement of the hip joint?

Perthe's disease --> avascular necrosis
Femoroacetabular impingement
Labral tear

3

How might acetabular dysplasia be surgically managed?

Periacetabular osteotomy

4

What are the different types of femoracetabular impingement?

CAM
Pincer
Mixed

5

What are possible causes of femoacetaular impingement?

SUFE
Perthe's
Anatomical variation

6

How is a labral tear managed?

Nothing
Arthroscopy
Open shaving/repair

7

Which pathology is caused by bone failure?

Steroids
Dialysis
Venous sludging

8

How does venous sludging occur?

Increased venous pressure of the femoral head >
Compartment syndrome >
Cuts off blood supply >
Necrosis >
Cysts & osteophytes >
Collapse of head

9

Which bone injuries cause hip pathology?

Fractures

10

What type of cartilage will injury spanning down to the tidemark be replaced with?

Fibrocartilage

11

What types of degeneration affect the hip?

Osteoarthritis
Rheumatoid arthritis

12

What may result from rheumatoid arthritis?

Secondary osteoarthritis

13

When should surgery be considered for hip dysplasia?

Symptomatic older patients
High risk of developing further problems

14

How can perthes be managed?

Head reshaping (not done in tayside)

15

How can femoroacetabular impingement be managed?

Laproscopic shave if symptomatic

16

What is the risk of femoracetabular impingement?

Secondary osteoarthritis

17

How can avascular necrosis be managed?

Pre-collapsed - x-ray guided pilot hole
Collapse - hip replacement

18

How is osteoarthritis of the hip managed?

Weight loss
Analgesia
Physiotherapy
Injections (gastrographin, anaesthetic, steroids)
Replacement

19

What are the indications for a total hip replacement?

Over 65
Reduced walking
Pain uncontrolled by analgesia
Night pain
Impairment of AoDL
Impairment of hobbies

20

What does a total hip replacement improve and what does it not improve?

Pain
May not improve stiffness

21

What is the risk with hip resurfacing?

Pseudotumours

22

What are the risks of joint replacement surgery?

Hypovolaemia
Nerve injury
DVT/PE
Dislocation

23

Is trochanteric bursitis self limiting?

Yes

24

How is trochanteric bursitis managed?

Conservatively +/- injections

25

How does trochanteric bursitis present?

Pain over hip joint
Doesn't change with walking
Single point of tenderness
Lying on side is painful
Doesn't last longer than a year

Decks in Year 2 Class (72):