Adult hip

Question 1

List developmental disorders that increase the risk of hip osteoarthritis later in life

Answer 1

DDH
LCP
SCFE
trauma, infection

all: loss of articular cartilage

Question 2

Differentiate hip osteoarthritis vs vascular claudication vs spinal stenosis

Answer 2

hip OA: presents with groin pain, restricted ROM, limping

spinal stenosis: low back or buttock pain, radiates to below the knee

vascular claudication: pain with walking, relieved with rest

Question 3

An _________ can sometimes help distinguish hip pain from back or vascular sources of pain

Answer 3

anesthetic arthrogram of the hip

Question 4

What are risk factors for hip fractures?

Answer 4

female
older
osteoporosis
chronic medical conditions
chronic steroid use
alcohol, smoking

Question 5

Differentiate intertrochanteric vs femoral neck fractures

Answer 5

intertrochanteric: treated with fixation, do not need joint replacement, blood supply preserved

femoral neck: disrupt blood supply, treated with partial or total joint replacement

Question 6

Describe the initial approach to managing hip OA pain

Answer 6

steroids, NSAIDs, activity modification, physical therapy, weight reduction, use of cane/ walker

Question 7

What are the major complications after THA?

Answer 7

DVT, PE, infection, dislocation, fracture, bleeding, limb length inequality

Question 8

How does obesity affect osteoarthritis?

Answer 8

Increases development and progression