Adult hip conditions Flashcards
What is FAI (femoroacetabular impingement syndrome)?
What are the actions that usually cause impingement in FAI?
Flexion, adduction, internal rotation
What are the types of FAI? Describe each.
- CAM type impingement
- Pincer type impingement
- Mixed deformity
How does FAI present and how to diagnose?
How does a labrum tear look like on imaging?
How to manage FAI?
What is avascular necrosis and what is the pathophysiology?
What are risk factors of AVN?
How does AVN present and how to diagnose it?
What are the stages of AVN and how to manage them?
What is idiopathic transient osteonecrosis of the hip (ITOH)?
How to diagnose ITOH?
Gold standard - MRI
What is trochanteric bursitis?
Repetitive trauma caused by iliotibial band tracking over trochanteric bursa
How does trochanteric bursitis present and how to diagnose? How is it managed?
Mx:
Analgesia
NSAIDs
Physiotherapy
Steroid injection
No proven benefit from surgery
What are potential precipitants of SECONDARY osteoarthritis?
Are the surgical treatments for OA and inflammatory conditions similar?
Yes
What is OA and what are patient presentations for hip OA?
Presentation:
Pain at night *(an indicator for surgical management)
How to assess hip OA and how to diagnose?
Dx:
Radiographs
- Joint space narrowing
- Subchondral sclerosis
- Osteophytes
- Cyst formation
How to manage osteoarthritis?
What are considerations for surgical planning in THR?
- Centre of rotation (high/low compared to line of greater trochanter)
- Leg length discrepancy
- Offset
- Canal width
