Approach to Hip Complaint Flashcards
the hip clunk is a common finding in what disease/syndrome?
Development Dysplasia of the Hip
How do you screen for developmental dysplasia of the hip?
use the ortolani and barlow maneuver
disease in which the blood supply to the head of the femur is interrupted-children?
Perthe’s disease
Who is most susceptible to Perthe’s disease?
children between 3 and 12 years old
disorder in adolescents in which the growth plate is damaged and the femoral head moves (slips) with respect to the rest of the femur?
SCFE
who is at risk for SCFE?
obese adolescents (8-15 yo)
what is a common sign of SCFE?
impaired internal rotation or an externally rotated leg
disease that results from the temporary or permanent loss of blood supply to the bone-adults?
avascular necrosis (AVN)
what could cause AVN?
age 30-50, long term use of corticosteroids or long term use of alcohol
What are the common image findings in OA?
bone spurs and joint space narrowing
tingling and numbness and burning pain in the outer part of the thigh
meralgia paresthetica
a locking, clicking, or catching sensation in the hip joint would be a sign for what?
labral tear
painful condition that occurs when pressure within the muscles builds to dangerous levels
compartment syndrome
what are the signs of compartment syndrome?
pain, paresthesia, pallor, paralysis, pulselessness
causes buttock pain
piriformis syndrome
signs and symptoms of piriformis syndrome
positive leg roll with sciatic notch tenderness and external hip rotation
condition in which the hip joint is not shaped normally, which causes the bones to painfully rub together
femoroacetabular impingement (FAI)
What are the signs of FAI?
limping, stiffness in hip, hip pain that worsens during physical activity or long periods of sitting
What could be a consequence of FAI?
a labral tear
What is the leading cause of injury deaths?
fall-related injuries
what is the most serious fall injury?
hip fracture
women of what age are more susceptible to hip fracture?
women 85 years or older
signs of a hip fracture?
outward turning of leg and shorter leg on side of injured hip
ho is most likely to develop SA?
infants and older adults
what are some risk factors for developing SA?
age >80, DM, RA, prosthetic joint, IV drug use
