Hip clinical presentations side notes

Question 1

Osteoporosis screening for risk factors at what age

Answer 1

50 years old

Question 2

Major risk factors OA

Answer 2

• Vertebral compression fracture
• Fragility fracture after age 40
• Early menopause (before 45)

Question 3

Minor risk factors OA

Answer 3

• Low dietary Ca intake
• Smoking
• excessive alcohol intake
• RA

Question 4

Which PROM are most limited in OA

Answer 4

FL
ABD
IR

Question 5

BMD testing for what population

Answer 5

females over 65
males ove 70
** Younger post-menopausal women & men aged 50-69 y/o with 1 major or 2 minor risk factors

Question 6

Open Reduction Internal Fixation (ORIF) surgical precautions

Answer 6

Full w/b 8-12 weeks post op (commonly)

Question 7

AVN risk factors

Answer 7

excessive alcohol consumption
autoimmune disease
corticosteroid use
trauma

Question 8

Internal snapping hip can diagnosed from moving from this position into this position

Answer 8

From FABER into
hip extension,
ABD
IR

Question 9

Which muscle strain has the worse prognosis /takes the longest to recover from?

Answer 9

Rectus Femoris

Question 10

The Inguinal canal is compressed. Which nerve is affected

Answer 10

Femoral nerve and lateral femoral cutaneous nerve

Question 11

Anterior thigh / lower leg is the sensory distribution for what nerve

Answer 11

femoral nerve

Question 12

anterio-lateral thigh is the sensory distribution for what nerve

Answer 12

lateral femoral cutaneous nerve

Question 13

knee extensors are the motor distribution for what nerve

Answer 13

femoral

Question 14

dimished patellar reflex. aggravated with hip extension. EMG good prognostic indicator for recovery within a year.
what nerve is involved

Answer 14

femoral nerve

Question 15

seat belts, obesity, and pregnancy will compress this nerve.
Improves with hip flexion / sitting
worsens with standing/ walking

Answer 15

lateral femoral cutaneous nerve

Question 16

Piriformis, ischial tub/ GT, long head BF are areas of compression for this nerve

Answer 16

sciatic nerve

Question 17

overlying fascia is an area of compression for this nerve

Answer 17

obturator nerve

Question 18

hamstrings, fibula, and tibia are motor distributions for what nerve

Answer 18

sciatic

Question 19

adductors and IR are motor distributions for what nerve

Answer 19

obturator

Question 20

lower leg, tibial and fibular are sensory distributions for what nerve

Answer 20

sciatic

Question 21

medial thigh and knee joint are sensory distributions for what nerve

Answer 21

obturator

Question 22

achilles and hamstring DTRs are diminished with damage to what nerve

Answer 22

sciatic

Question 23

THA may interrupt this nerve

Answer 23

obturator

Question 24

negative prognostic factor

Answer 24

1. male
2. more than 86 years old
3. mini mental score >6
4. more than/ = to 2 comorbodities
5. anemia

Question 25

Those with hip fractures are at high risk for

Answer 25

thrombosis/embolism

Question 26

Risk factors for AVN

Answer 26

➔ Trauma
➔ Corticosteroid use
➔ Excessive alcohol consumption
➔ Autoimmune diseases