Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

comeback szn > MS1: Affectations of Hip > Flashcards

MS1: Affectations of Hip Flashcards

1
Q

the largest and most constant bursa of hip

A

iliopsoas bursa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the 2 types of trochanteric bursa

A

subgluteus med and subglutes max

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is ischiogluteal bursa

A

aka weavers bottom; in sitting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

discuss the etiology of osteonecrosis of FH

A

trauma - mga fractures, disloc basta pag impair sa blood supply

impairment of circulation - mga diabetes, sickle celll, gaucher’s
- prolonged steroid use

idiopathic - LCPV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

discuss the pathology of osteonecrosis of Fh

A

total or incomplete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the stages of osteonec of FH

A
  1. degeneration and disapperance ng osteocytes - hyperemia or new blood vessels from around the bone na necrotic
  2. revascularization - invasion of new bv and ct on infarc area
    - osteoclastic resorption tas replace new bone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is crescent sign

A

result ng subchondral fracture bc of the osteoclastic activity sa onstenecro ng FH

bc weak so mag collapse yung head or flatten

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

clinical features of osteonecro of FH

A

pain on hip; if children referred to knee

limited abd and IR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

treatment of osteonecro of FH

A

children - abduction brace

adults - surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is LCPD

A

idiopathic osteonecrosis sa children

aka coxa plana

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

occurence of LCPD

A

mga below 7 yo

more in boys and mas madalas unilat

YOUNG THIN SHORT BOYS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

pathology of LCPD

A

80% can recover - self limited for 2-3 yrs

necrosis of epiphysis kaya mag llead to growth disturbance - short femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

clinical features of LCPD

A

LIMP - most constant

pain referred in knee

limited abd and IR

may lead to OA

FABER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the stages of LCPD

A

caterall staging

group 1 - only anterior head; BEST PROGNOSIS

2 - 1/2 and collapsed na yung gitna

3 - most of head

4 - total head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are indication of poorer prognosis is LCPD

A

caterall 3 or 4 - diffuses metaphyseal resorption

defect in epiphysis - gage’s sign

calcification

lat subluxation

GIRLS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how is transient synovitis DD from LCPD

A

movement produces pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how is juvenile RA DD from LCPD

A

pain in diff parts of body like fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

discuss good prognosis of LCPD

A

caterall 1

younger and slender children - dont put too much weight

BOYS

FH is contained well in acetabulum

  • above 30 may lead to OA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

treatment of LCPD

A

traction in early stages - to relieve spasms

abduction brace - abd and IR; walking with brace

surgical - older than 6, caterall 3 or 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

which is more common congenital coxa vara or valga

A

VARA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

describe congenital coxa vara

A

developmental or infantile; not detected at birth sa pag grow

lesser angle ng neck - TOWARDS 90 deg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

clinical features of congenital coxa vara

A

painless waddling gait - + trendelenburg

limited abd and IR; inc add and ER

prominent greater trochanter

shorter leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

desrcibe coxa valga

A

towards 180 deg - greater than 135 angle

bc children unable so stand - paralytic mga polio, CP

can lead to OA

longer leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

discuss the occurrence of slipped capital femoral epiphysis

A

adolescent OBESE BOYS

earlier in girsl ng 2 yrs kase puberty

mostly uni; 25% bilat

bc of trauma or strain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

etiology and pathology of SCFE

A

idiopathic

rapid growth, oblique physis and minor trauma mga trip or fall ganun

head slips down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are the types of SCFE

A

acute - severe trauma; least common

acute superimposed on chronic - mild pain or dicommfort followed by mild trauma

chronic - gradual; weak to months - limp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

clinical features of SFCE

A

affected limb becomes shorter and smaller

limited abd and IR

finds comfort in obligatory ER; when walking
- flex add ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

discuss the degrees of slippage in SFCE

A

minimal - widening of physis or less than 1/3

moderate - 1/3 to 1/2

severe - more than 1/2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

discuss diagnosis of SFCE

A

pain is referred to knee or medial thigh thats why need xray to confirm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

discuss treatment of SFCE

A

acute na less than 2 wks
- manipulation and pinning; traction

more than 3 wks
- no manipulation kase ma disrupt vessels = osteonecro

mild to moderate - pinning

severe - surgery

LOSE WEIGHT

30
Q

clinical features of iliopec/psoas bursitis

A

tenderness on ant hip s inguinal lig

relieve by flex, abd and er

pain by ext, add and ir

31
Q

dd for iliopec/psoas bursitis

A

femoral hernia - nawawala bukol

psoas abcess - back

arthritis

32
Q

treatment for iliopec/psoas bursitis

A

bed rest tas traction - gentle rom

33
Q

clinical features of deep trochanteric bursitis

A

LE held in abd in ER to relax glut max bursa

tender behind greater trochanter

pain radiate to back thigh

34
Q

clinical features of superficial trochanteric bursitis

A

pain in extreme add

35
Q

discuss ischiogluteal bursa

A

tender over sit bone tas pain radiates s post thigh

pillow or sit cushion

36
Q

what is congenital hip dysplasia

A

can be DDH - developmental

bc sublaxation from shallow acetabulum or deformed head

always w other congenital diseases

37
Q

most common hip disorder in children

A

congenital hip dysplasia

38
Q

discuss the occurence for CHD

A

0.1 % born w dislocated hip
1% hip sublaxation - mas common

80% female children

more common on left hip 60%

multifactorial

39
Q

clinical features of CHD

A

less than 6 mo. - LOM and limb shortening; more lines = shorter

toddlers - restricted motion, limp and waddling gait

adolescent - fatigue and pain in hip, thigh, knee

dec abd so also do FABER; ROM normal if infant bx no contractures pa

39
Q

risk factors of CHD

A

female and if firstborn

packaging problems
- premature acetabulum
- congenital disloc of knee, torticollis
- family history

40
Q

discuss barlow and ortolani

A

for CHD

barlow - dislocation
ortolani - relocation

41
Q

what is galeazzi test

A

for CHD UNILATERAL ONLY

pag mas mababa isa edi yun yung involved - positive

42
Q

management of DDH

A

0-6 mo tas dysplastic - pavlik harness

6-18 or older 18 tas dislocated - surgery

43
Q

classifications of hip dislocation

A

anterior - trauma while flex, abd, ER

posterior - flex, add, IR; MOST COMMON

central disloc - pumasok yung femoral head; basag acetabulum

44
Q

discuss hip pointer

A

direct trauma to iliac crest

pain and tenderness; ambulation and abd

45
Q

discuss IT band syndrome

A

lateral thigh, hip or knee pain

+ ober’s

46
Q

snapping hip

A

extra - tight sila
- IT band over greater trochanter
- iliopsoas sa iliopectineal eminence

intra
- labral tear

47
Q

most common n snapping hip

A

IT BAND

48
Q

PE of snapping hip

A

IT
- sa greater trochanter during flex-ext, add tas IR

iliopsoas
- sa groin during ext-flex, abd tas ER

49
Q

causes of acetabular fracture

A

MVA

fall from height tas naka stand

direct impact sa greater trochanter

indirect - dashboard

50
Q

complications of acetabular fracture

A

sciatic nerve palsy - MOST COMMON

sup gluteal artery or vein injury

ossification

avascular necro

chondrolysis

arthritis

51
Q

etiology of pelvic fracture

A

MVA or fall from height

avulsion fracture - bc of pull ng muscles; ischium - hamstring

osteoporosis - pubic rami

52
Q

kinds of pelvic fracture

A

anteroposterior - dapa tas nagulungan
- open book pelvis

lateral - one side of pelvis

vertical - jump

53
Q

classes of pelvic fracture

A

A- stable; sa iliac crest lng ganun

B - vertical stable; rot unstable

C - vertical and rot unstable

54
Q

comlications of plevic fracture

A

hemorrhage

lumboscaral plexus injury

bladder and urethra injurt

DVT to lungs kaya high mortality rate

55
Q

clinical features of pelvic fracture

A

pain over pelvis

flank or buttocks contusion

leg lenthg discrep

pag avulsion pain worse in contracting muscle

56
Q

treatment of pelvic fracture

A

conservative - type a or b

surgery - type c

57
Q

etiology of femoral head fracture

A

occus w hip disloc

from trauma

or fatigue
- osteopenic or subchondral impaction

58
Q

what are complications ans ssx of FHF

A

avascular necrosis and arthritis

pain and deformity ng head

59
Q

conservative treatment of FHF

A

conservative
- pag acute and dapat ma reduce within 6 hrs
- weight bearing 4-6 eks
- no add and IR

surgery pag pipikin 2 - 4 or dislocated tas old

60
Q

discuss femoral neck fracture

A

common in osteoporotic elderly sa ward’s
- fall

pwd din sa young pag major fall or trauma

61
Q

complications of FNF

A

avascular necrosis
infection
DVT and embolism - kaya high mortality s 1st yr

62
Q

SSx of FNF

A

pain

involved is shorter

limp or cant ambulate

tenderness sa greater trochanter

63
Q

discuss intertrochanteric fracture

A

usually sa mas old tas mild fall lng

pwede young pero MVA or high energy trauma

64
Q

complication ng intertrochanteric fracture

A

varus collapse

wound infect

non union RARE
avascular necro RARE

mortality s 1st yr 30%

65
Q

discuss PE of foot in intertrochanteric and subcapital fractures

A

shorter leg kase na ppull ng rectus, adductors tas hamstring

lat rot kase pull ng glut max, piriformis and gemeli

66
Q

what is arthroplasty

A

surgery to relief pain and restore motion tas early ambulate

sa mga arthritis, fracture and avascular necro

SA OLD LANG WAG YOUNG

67
Q

pre-requesites ng arthroplasty

A

WAG NA PAG TUBERCOLOSUS

need dapat controlled ng 1 yr yung infection bago mag opera
well motivated patieny
healthy muscles and joint

68
Q

what are the 2 types nf arthroplasty

A

total - papalitan acetabulum at head

partial - head lanf

69
Q

discuss hemiarthroplasty

A

unipolar - pag less active and old na kase pwede mag erode

bipolar - replace head and neck tas acetabulum

70
Q

discuss the types of fixation in arthroplasty

A

cemented - for old para makalakad agad; less active dapat

cementless - bine grow into prosthesis; pag YOUNG

71
Q

INDICATION NG ARTHROPLASTY para di madislocate

A

no flexion BEYOND 90

no abd BEYONG 45

no add BEYOND midline

no ROTATION

72
Q

complications of arthroplasty

A

dislocation

fracture

sciatic impinge

comeback szn (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions