Hip Pathologies Flashcards
Red flags in the hip (6)
- stress fracture
- avascular necrosis
- metastases
- RA
- fractured NOF
-SUFE/Perthes disease
what are
“- stress fracture
- avascular necrosis
- metastases “
SAM - red flags for hip
other questions to ask for the hip (not red flags) (5)
squatting
crepitus
catching/locking
neurological syptoms
symptoms elsewhere
2 types of hip OA
primary
secondary
what is Primary OA
idiopathic
what is Secondary OA
as a result of a disorder/event
Mechanism of hip OA
progressive loss of articular cartilage, joint space narrowed, osteophytes (bone spurs), subchondral cysts, changes to the synovium
hip OA is a ___ and ___ process
degenerative and reparative
risk factors for OA (6)
- age ~60
- F>M
- genetics
- obesity (excessive adipose tissue)
- occupation
- previous injury (predispose, improper healing)
OA clinical presentations SUB (5)
Hints: age, 24 hour pattern, pre-disposing factors
- age>45
- early morning stiffness in the hip <30mins
- aching pain (groin)
- pain on activity/ADLs (WB)
- stiffness post-activity
What mvmt can agg OA (2)
hip flexion and rotation
OA clinical presentations OBJ (3)
- altered gait
- capsular pattern (flex, IR, ABD)
- reduced ROM +/- pain on hip
special test for hip OA (4)
quadrant test (pain)
FABER (pain)
FADDIR (pain)
trendelenburg (weakness around hip)
functional test/mvmt for hip OA (4)
stairs, SLS, sit to stand, bridge
hip OA management (main 3)
- education and self-management
- exercise
- weight loss (if required)