Hip and Knee Flashcards
name the early local complications of a hip/knee operation/replacement/
infection dislocation nerve injury leg length discrepancy MI PE/DVT UTI blood loss
why dont we like like to give younger patient a full knee/hip replacement
they will put it under more stress and so more likely to need another one.
what is Avascular necrosis?
death of bone due to lack of blood supply
where is the most common site for AVN?
hip joint
what to patients tend to present with when they have AVN?
groin pain
treatment for AVN?
decompression if caught early enough
if not then THR
name some signs/symptoms of trochanteric bursitis
pain and tenderness over grearter trochanter
pain on resisted abduction
treatment for trochanteric bursitis?
analgesic
anti-inflam
physio
steroid injection
when do meniscal injuries classically occur?
twisting force on a loaded knee
where is the pain localised to in a meniscal injury?
medial or later joint line (mainly medial)
catching sensation/ “locking”
struggle to straighten knee
meniscal injury
knee becoming stuck
pseudolocking (in OA)
when to ACL ruptures usually occur
turning the upper body laterally on a planted foot causing internal rotation force on tibia
“pop” usually felt or heard
ACL rupture
rotational force injury
pop is heard or felt
haemarthrosis (effusion due to bleeding in joint) within an hour
deep knee pain
ACL rupture
