Hip Pathologies Flashcards

1
Q

Red flags in the hip (6)

A
  • stress fracture
  • avascular necrosis
  • metastases
  • RA
  • fractured NOF
    -SUFE/Perthes disease
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2
Q

what are
“- stress fracture
- avascular necrosis
- metastases “

A

SAM - red flags for hip

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3
Q

other questions to ask for the hip (not red flags) (5)

A

squatting
crepitus
catching/locking
neurological syptoms
symptoms elsewhere

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4
Q

2 types of hip OA

A

primary
secondary

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4
Q

what is Primary OA

A

idiopathic

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4
Q

what is Secondary OA

A

as a result of a disorder/event

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4
Q

Mechanism of hip OA

A

progressive loss of articular cartilage, joint space narrowed, osteophytes (bone spurs), subchondral cysts, changes to the synovium

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4
Q

hip OA is a ___ and ___ process

A

degenerative and reparative

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4
Q

risk factors for OA (6)

A
  • age ~60
  • F>M
  • genetics
  • obesity (excessive adipose tissue)
  • occupation
  • previous injury (predispose, improper healing)
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4
Q

OA clinical presentations SUB (5)
Hints: age, 24 hour pattern, pre-disposing factors

A
  1. age>45
  2. early morning stiffness in the hip <30mins
  3. aching pain (groin)
  4. pain on activity/ADLs (WB)
  5. stiffness post-activity
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4
Q

What mvmt can agg OA (2)

A

hip flexion and rotation

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5
Q

OA clinical presentations OBJ (3)

A
  1. altered gait
  2. capsular pattern (flex, IR, ABD)
  3. reduced ROM +/- pain on hip
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6
Q

special test for hip OA (4)

A

quadrant test (pain)
FABER (pain)
FADDIR (pain)
trendelenburg (weakness around hip)

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7
Q

functional test/mvmt for hip OA (4)

A

stairs, SLS, sit to stand, bridge

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8
Q

hip OA management (main 3)

A
  1. education and self-management
  2. exercise
  3. weight loss (if required)
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9
Q

hip OA management (other options)

A
  1. manage expectations, reassure and motivate
  2. Manual therapy
  3. analgesia
  4. thermotherapy (heat, ice)
  5. walking aids
  6. stretching
10
Q
A