HIP PATHO Flashcards
RED FLAGs in the HIP (6)
serious/rare/systemic disease that is non-MSK
Stress Fractures
Avascular necrosis
Metastases (2nd most common site after spine)
RA
Fractured NOF
Slipped upper femoral epiphysis (SUFE)/Perthes disease
Special questions for the hip (6)
squatting (daily mvmt pattern)
*crepitus
*catching/locking
neurological symptoms
*symptoms else where (Lspine, SIJ, abdomen, CES)
RED FLAGs
OA hip 2 types
primary OA - idiopathic
Secondary OA - as a result of a disorder/event (trauma/dysplasia)
OA hip
___&____process
degenerative and repetitive
OA hip mechanism
progress loss of articular cartilage, joint space narrowing, osteophytes (bone spurs), subchondral cysts, changes to synovium
Risk factors for HIP OA (6)
age ~60
F>M
Genetics
obesity (excessive weigth, metabolic changes)
occupation
previous injury (predispose/improper healing)
OA presentation SUB (5)
Age>?
Morning____ in the hip <___mins
____ pain
Pain on ___
_____ post activity
> 45 y/o
stiffness <30 mins
aching pain
activity/ADLs
stiffness (esp at the end of the day)
OA presentation OBJ (5)
altered gait - __&___
____ pattern
Reduced ROM +/- pain __&__&__
decreased step length, hip ext
capsular
FLEX, IR, ABD
AGGs for Hip OA:
what mvmt (2)
e.g. putting on shoes/socks, in and out of car, sit to stand, prolonged standing/walking, stairs (b/c increase ____)
hip flexion, rotation
increased loading
special test hip OA (4)
Pain on Quadrant/FABER/FADDIR
weakness around hip (Trendelenburg)
Functional test Hip OA
stairs, SLS, bridge, sit to stand (favour unaffected side)
Hip OA management (7)
education, self-management, manage exp, reassure and motivate*
Ex & stretching
MT (short term pain relief)
weight loss (if required)
analgesia
thermotherapy (hot&cold)
walking aids
