hip and LE Flashcards
hip fx
presentation
associated with what
tx
shortened and ER leg
displaced femoral neck fx assoc with risk of AVN and nonunion
also increased risk of OP and DVT
ORIF, maybe hemi or total
*anticoagulate
legg calve perthes disease
avascular necrosis of femoral head. occurs in ages 2-11 with peak b/t 4-8 yrs
persistant pain, limp, LROM, limited IR and abduction
kid presently with persistant hip pain, loss of motion…particularly IR and abduction
legg calve perthes disease
avascular necrosis diagnostic study and tx
MRI. protected wt bearing in early disease. alendronate. no bracing
what is slipped capital femoral epiphysis and age of occurence
weakening of the epiphysiseal plate of femur then displacement of femoral head. occurs in ages 10-16 years of age.
what to consider if slipped capital femoral epiphysis occurs in younger kids
hypothyroidism and hypopituitarism
best way to dx slipped capital femoral epiphysis
hip frog xrays
lateral pelvis show posterior medial displacement
slipped capital femoral epiphysis tx
pining in situ, crutches, NWB
what is thompson’s test
done to r/o achilles tendon rupture
what is the most common deformity of the MTP joint
hallus valgus(bunion)
mortons neuroma characteristics
caused from irritation of interdigital nn rubbing on transverse ligament. occurs in 3rd web space, more common in women
mortons neuroma sx
pain and localized numbness with walking/standing, relieved with rest. PE is squeeze forefoot
plantar fascitis location, sx, PE, dx, and tx
calcaneal.pain 1st few steps in am and heel pain at night.
PE shows pain at calcaneus and inflexible achilles tendon. xray shows spur or fx.
MRI shows calcifications.
tx 6-12 months PT,stretch, inj?; surgery for extreme cases
cause of AVN hip
unknown
describe AVN hip
loss of blood supply to trabecular bone-collapse of head
loss of ER, IR, abduction
pain relieved by rest
