Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CD2203- Final > Hip > Flashcards

Hip Flashcards

1
Q

common age for transient synovitis and legs-calve perches disease and slipped capital femoral epiphysis

A

transient synovitis- 2-10

Legg-calve-perthes- 2-8

slipped capital- 10-14

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Common age for femoral neck stress fx, snapping hip, AVN, OA

A

neck fx- 14-30s,65+
Snapping hip- 20-30s
AVN- 20-40
OA- 30s-60

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the lig ant, inf, and post of hip and what do they limit

A

ant- Iliofemoral (limits hyperext)

inf- Pubofemoral (limits hyperabduction)

post- Ischiofemoral (limits hyperextension)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When is there a loss of abduction and int rot what does it indicate

A

hip disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the red flags of the hip

A
  • Rheumatologic conditions
  • Inf
  • Tumors
  • stress fx/ any fx
  • AVN, LCP, SCFE
  • Congenital dysplasia of hip
  • AAA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What % of hips display abnormalities and have labral lesions

A

70%!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the potential series of events that lead to LBP due to reduced hip motion

A
  • reduced hip motion –> +/- capsul stiffness –> altered loading –> tissue stress/sensitizations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the mc hip probs associated with cLBP

A

hip jt pain, morning stiffness, pain w int rot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

hip spine syndrome in elderly aspects

A

limited hip mobility and rom (surgical hip correction can positively influence the LBP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What type of OA is LBP a poor prognostic factor for

A

hip oa

but not knee oa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the presentation and cause of myositis ossificans

A

Damage to mm with hematoma due to forceful stretching after injury, deep massage etc

-Direct blow followed by swelling and decreased ability to flex the knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hip pointer- onset/cause, treatment, prognosis

A

Direct trauma/fall on hard surface (disabling contusion of iliac crest)
tx- modalities/rest/ice/rom

prog-3weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Avulsion/apophyseal injury- cause, dx, tx

A

-skeletally immature its, any mm attachment, eccentric force

dx- pain/bruising + x ray
Tx- modalities/rest/ice/rom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

presentation of post hip dislocation and complications associated

A

flex/adducted/int rot
disclocation is med emergency

complications- fx, oa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

causes of hip instability and symptoms

A

causes- repetitive microtrauma from axial loading/ext rot, generalized lig laxity, collagen disorders

symptoms- pain, psoas/ITB snapping/ apprehension/ recurrent instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are 3 types of bursitis

A

Trochanteric

Ischial (direct blow, prolonged sitting)

Iliopectineal (deep to psoas tendon)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Symptoms of Greater trochanteric pain syndrome

A
  • chronic contnous or intermittent pain
  • increased pain w activity
  • local palpation of GT area recreates pain
  • supine resisted hip ext rot
  • single leg stance
18
Q

common demographic for gluteal tendinopathy

A

mc females 40+

in 35% of those w lbp

19
Q

tx of bursitis/gtps/gluteal tendinopathy

A

anti-inflammatory measures (rest/ice/modalities), soft tissues work, corticosteroid inj

20
Q

Snapping Hip syndrome- presentation, pathology

A

pres- snapping sensation with fear of dislocation

Pathology- Tendons become inflamed or irritated from rubbing over burs/bony prominances (mc GT)

21
Q

Adductor strain- cause, tests, risk factor

A

cause- forceful contraction in stretched pos (prox damage)

tests= direct palp*, fabre, resisted adduction

risk- decrease bilateral him ROM

22
Q

Hamstring strain- MOI, what type of injury has longer recovery

A

MOI- forced flexion of hip+ knee extension or excessive contractile force

More prox the injury= longer recovery

23
Q

moi of piriformis syndrome and features

A

moi- contracture/spasm, prolonged ext pressure, congenital variations in sciatic n, piriformes hypertrophy/fascia changes

symptoms- buttock pain, pain w sitting, tenderness of sciatic notch, pain in piriformic activity

24
Q

pathology and presentation of sports hernia

A

path- bulge or post inguinal wall hernia without presence of true hernia. Abnormalities of RA, partial avulsion of IO, abnormality of EO

Presentation- high performance athletes, inguinal canal pain, dilated superficial inguinal ring, increased pain w coughing/straining/palp
pain increases 6-24hrs after strenuous activity

25
Q

Assessment of sports hernia

A
  • Squeeze knees together while supine w knees bent
  • Squeeze feet together while supine
  • Faber, faddir
26
Q

Ostetis pubis- presentation, assessment, what is diagnositic

A

-Forced adduction/ pain w activity

assessment- palp, compression via ASIS

dx- >10mm widening at pubis, irregularity and sclerosis of pubic margins

27
Q

Hip stress fx- presentation, Mechanism, Assessment

A

pres- Insididous, deep ant pain w weight bearing, night pain

Mech- Osteoclast>Osteoblast

Assess- pain at end of flex/int rot, x ray

28
Q

Risks of hip fxs

A

Osteopenia/osteoperosis, malunion, AVN, biomech probs

29
Q

presentation of hip oa

A
  • middle age/elderly
  • moderate ant/lat hip, buttock, groin, knee pain
  • morning stiffness <1hr
  • Restricted int rot, flex, abduction
30
Q

Hip Rheumatism- pop, presentation, lab reults

A

pop- women 25-55, bilateral pain, periarticular swelling

lab- elevated ear, rheumatoid factor

31
Q

MOI of acetabular labral tears and diagnostic gold standard

A

MOI- rot + hyperextension or repeated pivoting/twisting

Dx- CT athrography

32
Q

Symptoms and signs of acetabular labral tears

A

Symptoms- Ant groin pain, mech hip symtoms (click, lock, catch, instability), C sign (hand around hip= labra tear/fai)

Signs- Coxalgic limp, faddier, scour, log roll etc

33
Q

FAI- presentation, S/S

A

mechainical impingement of femoral head or neck on acetabulum
-pain in ant aspect of hip, motion/pos related

S/S- Faddier, foot progression angle walking, max squat test

34
Q

How to differentiate developmental dysplasia/dislocation (test)

A

Dysplasia- hips w pos Ortolani sign

Dislocation-hips w negative ortolan sign

35
Q

MOI of developmental dysplasia/dislocation

A

Breech delivery
females
first born infants
pos fam history of DHD

36
Q

Transient synovitis presentation

A
  • child <10 years old with gradual pain in inguinal areas and difficulty bearing weight
  • Insidious limp
  • Pt. holds hip in ext rot/abd/flex
37
Q

Slipped capital femoral epiphysis pop, pres, diagnosis

A

Occurs in rapidly growing/overweight children 8-17

  • hx of minor trauma
  • may present as knee pain alone

Xray dx

38
Q

Legg calve perthes disease- pres (age), how can it present, s/s

A

males 5-7 mc

  • bilateral 10%
  • May present as knee pain
  • Decreased hip abduction, int rot
39
Q

x ray signs of LCP

A

present sign, fragmentation, collapse etc

40
Q

Meralgia parenthetic- pres, moi

A
  • Numbness/tingling of lat thigh due to compression of lat fem cutaneous nerve

moi- prolonged sitting, overweight/obese, tight belt, symptoms worse 1 inch inf to asis w pressure

CD2203- Final (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions