Hip Flashcards
Dashboard injury for almost 85-90%
Posterior (FADIR) Hip Dislocation
Present shortened for almost 10-15%
Anterior Hip Dislocation (EXABER)
Osteonecrosis/Aseptic Necrosis/Bone ischemia and Loss of blood supply
Avascular Necrosis of the Hip
Causes of the avascular necrosis of the hip
- Trauma
- Occlusion
- Alochol and long-term steroid
- Sickle cell anemia
Most causes for avascular necrosis of the hip
Alcohol and long term steroid
This is the conjoined tendons of G medius and minimus separated and where the greater trochanter is exposed.
Bald trochanter
A patient comes to your clinic and present pain on abduction movement especially palpating the greater trochanter.
Bald Trochanter
What is LCPD?
Legg Calve Perthes Disease
What is the other term for LCPD?
Coxa Plana
LCPD is more common to ___________ and children ______ years old.
Males than females (3:1); 3-12 years old
LCPD is more common to children aged ______.
5-7 years old
The initial manifestation of LCPD
Psoatic Limp (Trendelenburg gait)
LOM for patients with LCPD
Abduction and Internal Rotation
Immobilization for patients with LCPD
EXABIR
T or F
Surgery is needed for LCPD
F
Treatment for LCPD
- Trilateral
- Toronto
- Scottish Rile- FAB–> lightest and least restrictive
What diagnosis can you infer if the patient has a crescent sign on his hip?
LCPD/Coxa Plana
Five stages of LCPD
- Necrosis
- Fragmentation
- Revascularization
- Remodeling
- Healed Stage
This condition focuses on the slippage of the inferior epiphysis over the femoral neck.
SCFE or Slipped Capital Femoral Epiphysis
LOM for SCFE
Abduction and Internal Rotation
SCFE is more common on ___________.
Males than females (2:1)
The common age for people that has SCFE is _____ years old, which can be seen as shortened leg or ______.
12-15 years old; Coxa Vara
T or F
People that has SCFE is more tall and obese
T.
T or F
People that have LCPD is shorter and obese
F: shorter and thin
The patient presents:
Internal rot. or leg
Shortened Leg
Anterior Pelvic Tilt
Pronated subtalar jt.
Coxa Vara
The patient presents:
External rot. of leg
Lengthened leg
Post. Pelvic Tilt
Supinated (subtalar jt.)
Coxa Valga
Degrees for femoral torsion
13-15 degrees
> angle
IR of leg (tibia and fibula)
IR of knee
Intoeing (Pigeon toe)
Lateral patellar subluxation
Anteversion
<angle
ER (tibia and fibula)
ER of knee
Out-toeing
Retroversion
A patient comes to your clinic and presents with hematoma, and there is confusion about his iliac crest and ASIS. What condition can you infer from these findings?
Hip Pointer Injury
This is also known as Coxa Saltans.
Snapping Hip
A patient presents 45 degrees of hip flexion, and upon assessment, you noticed a snapping sound when you try to do hip flexion to extension. What condition can you infer from the patient?
Snapping Hip
What are the 3 types of Coxa Saltans?
- External
- Internal
- Iliofemoral Ligament snapping over the femoral head.
- This is the most common snapping hip resulting from tight ITB snapped over the great trochanter.
- What particular test would you perform?
- External Snapping Hip
- Ober’s Test
This is the iliopsoas snapping over the lesser trochanter.
Internal Snapping Hip
If there is a snapping hip, there is a snapping shoulder. What particular area does snapping shoulder occur?
Deltoid
- A patient presents lateral knee pain in his leg when she tries to run. You also noticed that the patient has an ITB over the lateral femoral condyle; what condition does the patient have?
- What particular test and positive sign can you infer?
- ITB friction syndrome
- Noble Compression Test at 30 degrees of knee results to positive sign where patient can feel pain.
