Approach to Hip Complaint

Question 1

the hip clunk is a common finding in what disease/syndrome?

Answer 1

Development Dysplasia of the Hip

Question 2

How do you screen for developmental dysplasia of the hip?

Answer 2

use the ortolani and barlow maneuver

Question 3

disease in which the blood supply to the head of the femur is interrupted-children?

Answer 3

Perthe’s disease

Question 4

Who is most susceptible to Perthe’s disease?

Answer 4

children between 3 and 12 years old

Question 5

disorder in adolescents in which the growth plate is damaged and the femoral head moves (slips) with respect to the rest of the femur?

Answer 5

SCFE

Question 6

who is at risk for SCFE?

Answer 6

obese adolescents (8-15 yo)

Question 7

what is a common sign of SCFE?

Answer 7

impaired internal rotation or an externally rotated leg

Question 8

disease that results from the temporary or permanent loss of blood supply to the bone-adults?

Answer 8

avascular necrosis (AVN)

Question 9

what could cause AVN?

Answer 9

age 30-50, long term use of corticosteroids or long term use of alcohol

Question 10

What are the common image findings in OA?

Answer 10

bone spurs and joint space narrowing

Question 11

tingling and numbness and burning pain in the outer part of the thigh

Answer 11

meralgia paresthetica

Question 12

a locking, clicking, or catching sensation in the hip joint would be a sign for what?

Answer 12

labral tear

Question 13

painful condition that occurs when pressure within the muscles builds to dangerous levels

Answer 13

compartment syndrome

Question 14

what are the signs of compartment syndrome?

Answer 14

pain, paresthesia, pallor, paralysis, pulselessness

Question 15

causes buttock pain

Answer 15

piriformis syndrome

Question 16

signs and symptoms of piriformis syndrome

Answer 16

positive leg roll with sciatic notch tenderness and external hip rotation

Question 17

condition in which the hip joint is not shaped normally, which causes the bones to painfully rub together

Answer 17

femoroacetabular impingement (FAI)

Question 18

What are the signs of FAI?

Answer 18

limping, stiffness in hip, hip pain that worsens during physical activity or long periods of sitting

Question 19

What could be a consequence of FAI?

Answer 19

a labral tear

Question 20

What is the leading cause of injury deaths?

Answer 20

fall-related injuries

Question 21

what is the most serious fall injury?

Answer 21

hip fracture

Question 22

women of what age are more susceptible to hip fracture?

Answer 22

women 85 years or older

Question 23

signs of a hip fracture?

Answer 23

outward turning of leg and shorter leg on side of injured hip

Question 24

ho is most likely to develop SA?

Answer 24

infants and older adults

Question 25

what are some risk factors for developing SA?

Answer 25

age >80, DM, RA, prosthetic joint, IV drug use