hip Flashcards

1
Q

RF OA of the hip

A

age, female, obese, DDH

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2
Q

symptoms OA hip

A

groin ache releved by rest

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3
Q

invx OA hip

A

clinical diagnosis, if not sure Xray

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4
Q

mx oa hip

A

steroid injection –> hip replacement

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5
Q

what is the leading indication for hip arthroplasty (replacement or remodelling)

A

pain

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6
Q

how long do hip replacements usually last

A

10-15 years

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7
Q

what components are involved in a cemented hip replacement

A

cemented metal femoral component + cemented acetabular polyethlene cup

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8
Q

what components are involved in a hybrid/ resurfacing hip replacement

A

metal cone over femoral head into cemented cup

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9
Q

when are uncemented hips now favoured

A

young patients - they are better but more expensive

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10
Q

how long are crutches needed after THA (or TKR)

A

6 weeks

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11
Q

prophylaxis for VTE vollowing THA

A

LMWH for 4 weeks

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12
Q

advise to minimise risk of dislocation post THA

A

sleep on back // dont sit cross legged // dont sit too low // dont flex hip over 90

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13
Q

what dislocation is most common following hip replacement + symptoms

A

posterior // clunk, pain, cant weight bear, short leg

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14
Q

what is the most common cause for early hip revision

A

aseptic loosening

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15
Q

risks of revision THA

A

more blood loss and complications and dont work as well

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16
Q

what is AVN of the hip

A

ischaemia of femoral head secondary to lost blood supply

17
Q

causes hip AVN

A

steroids, chemo, alcohol, chondral fracture, trauma

18
Q

symptoms hip AVN

A

unilateral joint pain worse on impact

19
Q

invx hip AVN

A

plain Xray // MRI- sclerosis and granulation rissue

20
Q

mx hip AVN

A

if not collapsed drill holes into femur // if collapsed THA

21
Q

what can cause transient idiopathic osteoporosis of the hip

A

pregnancy!! hyperaemia, increased venous return

22
Q

invx transient idiopathic osteoporosis of the hip

A

raised PV or ESR // MRI // Xray

23
Q

what causes trochanteric bursitis // trochanter pain syndrome

A

repeated trauma by IT band over bursa

24
Q

who gets trochanteric bursitis / trochanter pain

A

females, runners, 50-70

25
symptoms trochanteric bursitis // trochanter pain
pain on lateral thigh, tenderness on palpation greater trochanter
26
mx trochanteric bursitis // trochanter pain
physio, NSAIDs, steroid injection // surgery not indicated
27
what is hip imingement (FAI)
femoral head changes shape and part of bone begins to pinch the labrum (cartilage between acetabulum and femoral head)
28
who usually gets FAI
young people, females, atheletes, previous SUFE
29
symptoms FAI
groin pain esp on flexion + rotation // worse sitting // C sign + FADIR positive
30
mx FAI
surgery to remove extra bone (osteotomy) // THR in older patients
31
symptoms of acetabular tear
hip/ groin pain // snapping sensation // potential locking
32
what is leriche syndrome
atherosclerosis of iliac vessels
33
symptoms leriche
butt claudication + impotence