hip OA Flashcards
Describe the prevalence of hip OA
- most common in adults older than 60
- 28% of adults with OA over the age of 45 will have hip OA
- females slightly greater than males
What are the risk factors for hip OA
- Age the older you get the greater the risk
- previous history of development disorders, congenital dislocation, legs-calve-perthes, SCFE
- history of fractures
- high risk athletes
- Obesity is questionable
Diagnostic imaging criteria for hip OA
- normal 3-5 mm of space between head of femur and acetabulum
- mild less than0.5 mm change
- moderate less than 2.5 mm with possible osteophyte development
- severe less than 1.5 mm with sclerotic hardening
what are the Altman’s criteria for hip OA dx
- hip pain
- radiographic evidence of osteophytes
- erthrocte sedimentation rate (<20mm.hr)
- radiograph narrowing
- pain with hip IR
- IR less than 15
- morning stiffness less than 60
what is the capsular pattern of hip
IR loss greatest followed by ABD and then FLEX
what are the CPR criteria for hip OA
- painful squatting
- painful flexion
- scour test that produces pain
- painful extension
- IR less than 25
Sutlive 2008
what are the OARSI recommendations for hip and knee OA
- patient directed interventions better than clinician directed
- routine follow up for clinical status
- PT with HEP
- routine exercise including water based exercise for symptomatic patients
- maintain proper weight
- walking aides as needed
- thermal modalities, ice or heat, helps
- TENS can help with symptoms
Siege 2015 made what recommendations regarding conservative care for hip OA
Exercise in connection with Eduction regarding OA progression and symptoms
- found that theses people had greater delay to THA than education alone
Abbott 2013 made what recommendation regarding conservative care for hip OA
- exercise and manual therapy were superior to no therapy in reduction of pain and increase in function
- exercise was the best intervention
what is the consensus regarding manual therapy for hip OA
manual therapy improved pain for up to 1 year and function particularly when used with exercise
