hip fractures Flashcards

1
Q

92% of patients with hip fractures are

A

over 60

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2
Q

how many cases per annum of hip fractures

A

84

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3
Q

intravascular fracture effects what blood supply

A

medial and lateral circumflex and intramedufllary aretry

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4
Q

classification of hip fracture

A

intracapular or extra capsular

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5
Q

types of ectracapular fractures

A

basicervical, intertrochanteric, reverse oblique and subtrochanteric

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6
Q

what is the only blood supply in an intrameduillry fracture

A

ligamentum teres

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7
Q

lady with shortened externally rotated leg

A

hip fracture

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8
Q

what is the curve in a normal hip xr

A

shentons line

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9
Q

what gives the best view of the hip xr

A

AP

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10
Q

treatment of intracapuslar fracture

A

usually femoral head replacement (half or full)

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11
Q

who with a intracapsular fracture gets a full hip replacement

A

high functioning elderly

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12
Q

when to not to give a hip replacement in intracapular hip fractures

A

high functioning young

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13
Q

what to give a high functioning young person with a inracapsular hip fracture

A

hip screws

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14
Q

management of extra capsular hip fracture

A

screws

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15
Q

intracapuslar fracture risks

A

non union - 20% or AVN, 6-20%

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16
Q

extra capsular fracture risks

A

malunion, non union

17
Q

intertorchanteric fracture management

A

dynamic hip screw

18
Q

management of avascular necrosis - late

A

hip replacement

19
Q

what is compartment syndrome

A

increased pressure I n a muscle compartment

20
Q

what is the pressure differences in compartment synod

A

compartment pressure is bigger Han perfusion pressure

21
Q

common sits of compartment syndrome

A

calf forearm and hand

22
Q

clinical signs of compartment syndrome

A

pain, parasthesia, pallor and pulselessness