Orthopaedics: Lower Limb Flashcards Preview

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Flashcards in Orthopaedics: Lower Limb Deck (12)
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1

Hip pathology tend to produce pain in the groin and knee because...

both are served by the obturator nerve

2

Which movement is first lost in hip pathology?

internal rotation

3

Abductor weakness is weakness in which muscles?

gluteus medius and minimus

4

Gluteus medius and minimus are suppled by...

superior gluteal nerve

5

When may the limb become shorted in hip pathology?

SUFE, AVN, fracture, severe OA

6

DDx of groin pain

Hernia, high lumbar disc prolapse (L1/2), adductor tendonitis, pubic symphysis dysfunction

7

What conservative methods should be trialled first before THR?

analgesia, physiotherapy, walking stick, weight reduction and activity alteration

8

Early complications of THA/THR

infection, dislocation, nerve injury, leg length discrepancy

9

What are secondary causes of AVN of the hip?

alcohol excess, steroids, hyperlipidaemia, thrombophilia

10

The hanging rope sign on an x-ray is found in which condition?

AVN

11

When AVN causes femoral neck collapse what is the only treatment option?

THR

12

If AVN of the hip is found before total collapse what can be done?

drill holes in the femoral head/neck to prevent collapse