Hip Flashcards
Where does hip pathology produce pain?
the groin which may radiate to the knee
Why does hip pain radiate to the knee?
obturator nerve supplying both joints
In SUFE pathology can present wiht knee pain only
T
Hip replacement can be expected to last 15/20 yrs
F
Only in low demand older patient
Decision to undergo total hip replacement depends on what?
Pain (ask about sleep deisturbance, analgesic use, rest prain)
Disability
Early local complications of total hip replacement?
infection, dislocation, nerve injury (sciatic nerve) and leg length discrepancy.
General medical complications of total hip replacement?
deep vein thrombosis and pulmonary embolism
Hypovolaemia blood loss, infections (UTI or chest)
revision hip replacement is bigger and more complex surgery than a first time hip replacement
T
revision hip replacement has twice the complication rates and often poorer functional outcome compared to first time THR
T
The younger the patient the better the outocmes for THR
F
put more demand on their prosthetic hip than an elderly patient and they have a longer life expectancy - more likely to need revision
Which joint is the COMMONEST site for avascular necrosis?
THE HIP JOINT DUH!!!
Avascular necrosis pain in the hip tends to present where?
In the groin
MRI of patient shows
Hanging rope sign formed by a line of lysis
Patchy sclerosis
Diagnosis?
Avascular necrosis
Avascular necrosis is caused by?
idiopathic or secondary to alcohol abuse, steroids, hyperlipidaemia or thrombophilia
Undetected Avascular necrosis can lead to?
femoral head collapse with irregularity of the articular surface and subsequent secondary OA.
