Hip pain in elderly

Question 1

Mcc of hip d/o in elderly, its causes

Answer 1

Osteoarthritis
Causes:
Primary - intrinsic d/o
Secondary d/t
1. DDH
2. SCFE
3. Prev infection/inflammation of joint
4. Prev trauma
5. Acetabular dysplasia

Question 2

Osteoarthritis of hip c/f

Answer 2

1. M=F, >50yrs
2. Starts in one joint, other side follows (commonly b/l)
3. ↑Pain with activity, ↓with rest , nocturnal pain, stiffness(30mins in morning), deformity
4. Exam:
   ●Antalgic gait
   ●Fixed flexion deformity
   ●IR>extension>abd>add>flexion>ER

Question 3

Osteoarthritis mx

Answer 3

Wt loss, rest
NSAIDs
Physiotherapy
Hydrotherapy - useful

Question 4

Greater trochanteric pain syndrome c/f

Answer 4

1. Pain - lateral hip radiating down to lateral aspect of thigh (post exercise)
2. Inflammation of gluteus medius tendon or trochanteric bursitis
3. Pain more at night, lying laterally
4. Elderly, F
5. Diagnosis - USG (Xray normal)

Question 5

Greater trochanteric pain syndrome Mx

Answer 5

NSAID
Physiotherapy…
Steroid injections