Hip Pain + Fractures Flashcards
where does hip pain typically present
groin – may radiate to knee buttock pain
why might pain from hip problem be felt in knee
obturator nerve supplying both joints
what nerve supplies the hip adductors
obturator nerve
what nerve supplies the hip abductors
superior gluteal nerve
what does a positive trendellenburg sign indicate
weakness of hip abductors (glut minimus + glut medius)
what is the first movement affected in hip pathology
loss of internal rotation
what is the gold standard total hip replacement made of
cemented metal/polyethene
early complications of a THR
infection nerve injury - sciatic nerve dislocation leg length discrepancy
late complications of THR
early loosening late infection late dislocation
how does avascular necrosis present
groin pain
what can AVN be secondary to
alcohol abuse steroids thrombophilia hyperlipidaemia
late AVN signs on XRAY
patchy sclerosis of femoral head
lytic zone underneath - formed from granulation tissue
“hanging rope sign”
treatment of AVN that is detected early
drill holes into femoral neck to relieve pressure, promote healing and prevent collapse
treatment of AVN that is detected late
THR
presentation of trochanteric bursitis
pain + tenderness in region of greater trochanter
pain on abduction of hip
how are hip fractures classified
intracapsular
extracapsular
