Ostoarthrits Of The Hip

Question 1

What is the etiology of osteoarthritis of the hip

Answer 1

Wear and tear

Question 2

What is the pathophysiology of osteoarthritis of the hip

Answer 2

Joint undergoes degenerative changes
*subchondral bony sclerosis and Subchondral cyst formation
*loss of articular cartilage

Question 3

What are the stages of articular cartilage loss?

Answer 3

I: mild, softening of cartilage
II: mild-moderate, cracking/fissuring/blistering of cartilage may start to see osteophytes formation
III: moderate, loss of cartilage, osteophytes present
IV: severe, full thickness cartilage loss

Question 4

Are the chondrocytes able to repair the damaged cartilage

Answer 4

NO

Question 5

What is the clinical presentation osteoarthritis of the hip

Answer 5

1. Pain with use or after use
   *specifically in the groin and with internal/external rotation
2. Insidious onset
3. Typically starts with one joint

Question 6

What will be found on the PE?

Answer 6

1. Decreased ROM
2. Altered gait
3. Pain with internal/external rotation
4. Decreased muscle strength
5. May be tender to Palpation

Question 7

What will be found on the radiographs? (osteoarthritis of the hip)

Answer 7

1. Joint space narrowing
2. Subchondral cyst formation
3. Osteophytes formation
4. Findings are superolateral

Question 8

What is the treatment of osteoarthritis of the hip

Answer 8

1. Lifestyle modifications
2. Cane
3. Therapy for strengthening and gait training
4. Cortisone injections
5. Surgical
   *hip arthroscopy
   *total hip arthroplasty