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Diff Di > Hip pain > Flashcards

Hip pain Flashcards

1
Q

common hip problems are due to:

A

bone or joint injury

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2
Q

in senior pts, the hip/weight bearing joint is commonly affected by:

A

DJD and fracture

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3
Q

hip issues in infants are usually from:

A

congenital disorders

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4
Q

hip issues in adolescents are usually from:

A

vascular and growth plate problems

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5
Q

hip issues in young adults are usually from:

A

traumatic injuries

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6
Q

hip issues in older pts are usually from:

A

arthritis and fracture

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7
Q

hip diagnosis is often dependent on

A

xrays

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8
Q

hip pain may be due to

A

intrinsic pathology or referred

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9
Q

insidious onset of pain in adult/senior could be from

A

DJD

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10
Q

with children, remember that this area could be a common referral sit for hip disorders

A

knee

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11
Q

thigh pain from direct trauma

A

contusion

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12
Q

thigh pain from sudden movement onset

A

strain

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13
Q

anterior thigh numbness, paresthesia, or weakness

A

femoral nerve involvement

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14
Q

lateral thigh sensory complaints

A

lateral femoral cutaneous nerve

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15
Q

posterior thigh neurological complaints

A

sciatic nerve irritation or lumbar/sacral facet problems

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16
Q

femoral head faces forward with relative posterior positioning of greater trochanter

A

anteversion

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17
Q

femoral head faces posterior with anterior positioning of greater trochanter

A

retroversion

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18
Q

hip issues with pediatric/childhood onset

A

hip dysplasia/congenital hip dislocation

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19
Q

hip issues with adolescent/young adult insidious onset

A

SCFE or AVN

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20
Q

hip issues with adolescent/young adult sudden/traumatic onset

A

SCFE, synovitis, stress fracture

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21
Q

hip issues with middle-aged/adult onset

A

hip pain is unusual in this age

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22
Q

hip issues with older age onset

A

DJD, fractures

23
Q

xrays show narrowing of superior joint space with osteophyte formation, cystic changes, and sclerosis

A

osteoarthritis

24
Q

xrays show uniform, symmetrical loss of joint space with demineralization, cystic changes, acetabular protrusion

A

RA

25
Q

xrays show accentuated trabeculation, cortical thickening, brim sign, bone softening changes

A

Paget’s

26
Q

xrays show mottled bone density, crescent sign, flattening deformity, fragmentation

A

AVN

27
Q

xrays show small or absent epiphysis, flattening, sclerosis, fissuring, fragmentation, mushroom deformity

A

Legg-Calve-Perthes disease

28
Q

xrays show abnormal Klein’s line

A

SCFE

29
Q

xrays show Putti’s triad

A

developmental dysplasia of the hip

30
Q

xrays show aspherical femoral head, lack of femoral head neck offset, and retroversion of the acetabulum

A

FAI

31
Q

xrays show increased inclination of the acetabulum

A

acetabular dysplasia

32
Q

management for fracture, dislocation, SCFE, AVN, infection, tumor, or visceral pathology

A

medical referral

33
Q

classic presentation is pain, unable to bear weight, and history of fall on hip

A

hip fracture

34
Q

2 divisions of hip fractures

A

intra-capsular and extra-capsular

35
Q

type of hip fracture that is twice as common and more likely to result in complications such as necrosis, nonunion, infection, thromboembolic disease

A

intra-capsular

36
Q

classic presentation is a young and active patient, often participating in activities like long-distance running or gymnastics

A

stress fracture

37
Q

pain is insidious and worse with weight bearing, pain is often anterior and deep

A

stress fracture

38
Q

2 types of stress fractures

A

fatigue and insufficiency

39
Q

most sports related hip dislocations are in this direction

A

posterior

40
Q

major force applied to a flexed abducted hip

A

posterior hip dislocation

41
Q

major force to an extended, externally rotated leg

A

anterior hip dislocation

42
Q

seen in overweight children or rapidly growing adolescents, trauma in 50% of the cases, hormonal influences may play a role, bilateral occurrences common, hip pain with a limp

A

slipped capital femoral epiphysis

43
Q

mild hip pain and associated limp with insidious onset, young pt may present with knee pain, may have limited hip abduction and internal rotation

A

avascular necrosis

44
Q

clinical syndrome of painfully limited hip motion, results from certain types of underlying abnormalities in the femoral head/neck or surrounding acetabulum

A

femoral acetabular impingement (FAI)

45
Q

pt often complains of sharp deep hip pain with squatting running stopping or changing directions, pain is often felt anteriorly

A

femoral acetabular impingement

46
Q

impingement that is due to acetabular abnormalities which lead to excessive coverage by the anterior acetabular rim, more common in middle aged women, can occur with various disorders

A

Pincer impingement

47
Q

impingement that is due to abnormalities of the femur with decreased offset between the femoral head and neck, more common in young men

A

CAM impingement

48
Q

middle aged and elderly pts with hip pain and possibly butt, groin, or knee pain with insidious onset; restricted passive internal rotation and extension, pain may be produced by axial compression, xrays show nonuniform loss of joint space with superior compartment involvement, subchondral cysts, sclerosis, osteophytes

A

degenerative joint disease

49
Q

classically in females between 25 and 55 with hip pain, soft tissue swelling, stiffness, decreased ROM, usually bilateral, shows pannus on xray

A

RA

50
Q

Putti’s Triad

A

small/absent proximal femoral epiphysis
lateral displacement of femur
increased inclination of acetabular roof

51
Q

the acetabular angle using Hilgenreiner’s line should be less than this many degrees at birth

A

28 degrees

52
Q

the line drawn perpendicular to Hilgenreiner’s line, and intersects the lateral most aspect of the acetabular roof

A

Perkin’s line

53
Q

SCFE has abnormal __ line

A

Klein’s line

54
Q

AVN disease in a young patient

A

Legg-Calve-Perthes disease

Diff Di (8 decks)

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