Hip conditions

Question 1

what hip condition is common after undisplaced fracture of femoral head

Answer 1

osteoarthritis

Question 2

osteoarthritis presentation on xray

Answer 2

LOSS;
loss of joint space
osteophytes 
sclerosis 
subchondral cysts

Question 3

what is Thomas’ test used for

Answer 3

hip arthritis

Question 4

pain in trochanter region of hip (laterally)

Answer 4

trochanteric bursitis

Question 5

treatment of trochanteric bursitis (4 + 1 not)

Answer 5

self limiting
NSAIDs
injections
physio

NOT surgery

Question 6

risk factors for AVN (5)

Answer 6

chronic alcoholics
steroid users
obesity 
lupus 
deep sea diving

Question 7

presentation of hip AVN

Answer 7

severe groin pain

Question 8

hip AVN treatment

Answer 8

surgical decompression

joint replacement

Question 9

wrist/ankle AVN treatment

Answer 9

surgical decompression

joint fusion

Question 10

is anti coag useful in AVN

Answer 10

probs not, probs too late

Question 11

painful
shortened leg
externally rotated

Answer 11

fractured hip

Question 12

painful
shortened leg
internally rotated

Answer 12

dislocated hip

Question 13

when a hip dislocates, which direction does it usually go

Answer 13

anterior

Question 14

aetiology of posterior hip dislocation

Answer 14

high energy eg RTA

Question 15

common complication of POSTERIOR hip dislocation

Answer 15

sciatic nerve injury (as it travels posterior to hip)

Question 16

treatment of hip dislocation

Answer 16

emergency reduction

Question 17

% of prosthetic hips that dislocate

Answer 17

2-3%

Question 18

treatment of prosthetic hip dislocation for the first time (2)

Answer 18

reduction

knee splint to stabilise

Question 19

treatment of prosthetic hip dislocation for the second time

Answer 19

joint replacement