Flashcards in Hip conditions and surgery Deck (25):
Altered biomechanics of the hip is caused by which pathology?
Dysplasia of the hip
Which pathology can cause block to movement of the hip joint?
Perthe's disease --> avascular necrosis
How might acetabular dysplasia be surgically managed?
What are the different types of femoracetabular impingement?
What are possible causes of femoacetaular impingement?
How is a labral tear managed?
Which pathology is caused by bone failure?
How does venous sludging occur?
Increased venous pressure of the femoral head >
Compartment syndrome >
Cuts off blood supply >
Cysts & osteophytes >
Collapse of head
Which bone injuries cause hip pathology?
What type of cartilage will injury spanning down to the tidemark be replaced with?
What types of degeneration affect the hip?
What may result from rheumatoid arthritis?
When should surgery be considered for hip dysplasia?
Symptomatic older patients
High risk of developing further problems
How can perthes be managed?
Head reshaping (not done in tayside)
How can femoroacetabular impingement be managed?
Laproscopic shave if symptomatic
What is the risk of femoracetabular impingement?
How can avascular necrosis be managed?
Pre-collapsed - x-ray guided pilot hole
Collapse - hip replacement
How is osteoarthritis of the hip managed?
Injections (gastrographin, anaesthetic, steroids)
What are the indications for a total hip replacement?
Pain uncontrolled by analgesia
Impairment of AoDL
Impairment of hobbies
What does a total hip replacement improve and what does it not improve?
May not improve stiffness
What is the risk with hip resurfacing?
What are the risks of joint replacement surgery?
Is trochanteric bursitis self limiting?
How is trochanteric bursitis managed?
Conservatively +/- injections