8.22 Hip fx Flashcards

1
Q

Where does the cane go? Why?

A
  • unaffected side

- to offload the affected side

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2
Q

For every pound of force you put through the cane, you offload ___ pounds

A

7

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3
Q

Where should someone carry weight with a LE injury?

A

on the affected side

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4
Q

Why should weight be carried on the affected side with a LE injury?

A

If it’s placed on the unaffected side, the lever arm is larger and you get more joint approximation

= more pain

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5
Q

What’s the big ligament IN the hip joint?

A

ligamentum teres

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6
Q

What is the ligamentum teres supplied by?

A

ligamentum teres artery (aka. obturator artery)

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7
Q

What does the medial circumflex artery supply during growth?

A

epiphyseal plate

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8
Q

Where do AVNs occur?

A

in areas with less blood supply

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9
Q

Which group has a higher risk of AVN?

A
  • OA

- competitive swimmers

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10
Q

Why will someone with OA be more likely to have an AVN?

A

increased trauma causes faster progression

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11
Q

In addition to trauma, what else causes blood supply to decrease?

A

age

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12
Q

What are the 3 femoral fx types we learned about in class?

A
  • subtrochanteric
  • intertrochanteric
  • subcapital
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13
Q

Which of the fx types are extracapsular?

A

subtrochanteric

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14
Q

Where is a subtrochanteric fx located?

A

2.5 inches below the trochanter

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15
Q

Where is the intertrochanteric fx located?

A

between the neck and femur

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16
Q

Where is the subcapital fx located?

A

between the head and neck of the femur

17
Q

How will a pt with a hip fx present generally?

A
  • antalgic gait with weight on toe
  • pain/muscle guarding
  • poss. swelling/redness
  • poss leg length difference
18
Q

Why is there often a leg length difference with hip fx?

A

muscle guarding

19
Q

What should be done with a hip fx pt?

A

need a referral

  • radiographs
  • may need CT or MRI (not always visible on x-ray)
20
Q

What factors play into assessing whether or not the pt will get surgery for a hip fx?

A
  • Can they survive the surgery?
  • Mental status
  • Prior functional mobility
  • Postmorbid expectations (will it make a difference)