Hip Flashcards
Idiopathic inflammatory disease of pubic symphisis and surrounding structures
osteitis pubis
Lateral femoral cutaneous n syndrome- sensory n. that is susceptible to compression
meralgia paresthetica
a tear in the acetabular labrum- the ring of cartilage that surrounds the acetabulum
labral tear
deeper bursa located between the top of the superior trochanteric process and gluteus medius tendon
trochangeric bursa
bony deformity on the acetabuluar rim, femoral head/neck junction or both
femoral acetabular impingement
Patient presents with gradual onset pain, burning, dyesthesia in anterolateral thigh. Palpation over ASIS may reproduce sx. abnormal SENSORY exam. motor and DTR’s normal. dx and tx?
meralgia paresthetica (clinical dx). self limiting and spontaneous remission frequent
risk factors for meralgia paresthetica
obesity, DM, older, tight belts/garments, preggo, trauma
Patient presents with lateral hip pain that can radiate proximally or distally, local tenderness, Pain with active hip abduction, but ROM INTACT.Gait disturbances is most common cause of this. dx and tx?
trochanteric bursitis. acute- heat, passive stretching, NSAIDS. subacute- injections. chronic- TENS (transcutaneous electrical n. stimulation)
Acute or insideious pelvic pain, wide based gait, tenderness over Pubic symphysis, pain with resisted strength testing of adductor and lower abdominal mm. dx? tx?
osteitis pubis- conservative tx
Patient presents after cartilage or labrum damaged. Presents with gradual onset of progressive pain that increases with prolonged sitting or stair climbing. Positive impingement sign. Decreased ROM, gait alterations. dx and tx?
femoral acetabular impingement- conservative tx
Athlete with high energy trauma presents with severe hip pain, pelvic pain, and knee pain. Unable to bear weight. Upon PE, leg is externally rotated and shortened when supine. SLR positive. dx? tx?
hip and pelvic fracture- stabilize and ortho consult (if pelvic fractture- GU consult)
most common proximal femur fracture
femoral neck and intertrochanteric fracture
proximal femur fractures, different types:
intracapsular tx- less bleeding. extracapsular fracture - increased bleeding and swelling, intertrochanteric fracture, femoral neck fracture
hip dislocation and femoral shaft tx
femoral shaft fracture- surgery ASAP. hip dislocation- emergently reduce. post reduction- crutch assisted weight bearing
what kind of hip dislocation is hip shortened, flexed, internally rotated, and adducted
posterior
