hip pathology

Question 1

pain associated with hip pathology

Answer 1

groin which may radiate to the knee

Question 2

what nerve supplies the knee and hip joints

Answer 2

obturator

Question 3

SUFE presents exclusovely with

Answer 3

knee pain

Question 4

shortening of hipseen in

Answer 4

severe OA, prethes, SUFE or AVN

Question 5

causes of hip AVN

Answer 5

idiopathic (primary), alcohol abuse, steroids, hyperlipidaemia, thrombophilia

Question 6

presentation of trochanteric bursitis

Answer 6

patients have pain and tenderness in teh regoin of the greater trochanter with pain on resisted abduction

Question 7

treatment of trochanteric bursitis

Answer 7

analgeauc, anti inflammatories, physiotherapy

Question 8

what is trochanteric bursitis also known as

Answer 8

gluteal cuff syndrome

Question 9

what has the thickest hyaline cartilage in thebody

Answer 9

retropatellar

Question 10

role of ACL

Answer 10

prevent abnormal internal rotation of the tibia

Question 11

PCL role

Answer 11

preveenst hyperextension and anterir translation of the femur

Question 12

MCL resists

Answer 12

valgus force

Question 13

LCL resists

Answer 13

varus force and abnormal ecternal rotation of the tibia

Question 14

meniscal injuries caused by

Answer 14

twisting force in a loaded knee

Question 15

presentation of meniscal injuries

Answer 15

localises pain to the medial or lateral joint line and an effusion develops the following day - locking

Question 16

how to patients feel if a loose meniscal fragent is caught in the knee

Answer 16

while walking knees may feel like they are about to give way

Question 17

when do ACL injuries occur

Answer 17

with higher rotational force - turning the upper body on a planted foot

Question 18

ACL presentation

Answer 18

pop, haemathrosis within an hour, rotatory instability

Question 19

valgus stress injuries lead to

Answer 19

a tear to the MCL

Question 20

direct blow to anterior tibia wuth hyoerextension can lead to

Answer 20

PCL rupture

Question 21

what meniscal tears are more common

Answer 21

medial

Question 22

what should be considered for meniscal repair

Answer 22

reasonably fresh, longitudinal tears involving the outer 1/3rd of the meniscus in a younger patient

Question 23

principle complaint of ACL deficiency

Answer 23

instability woth giving way on turning

Question 24

exaamination of ACL rupture

Answer 24

knee swelling, excessive anterior translation of the tibia on the anterior drawer test and lachman test

Question 25

PCL rupture presentation

Answer 25

severe laxity and recurrent instability with frequent hyperextension or feeling unstable descending stairs

Question 26

presentation of patelofemoral dysfunction

Answer 26

patients tend to complain of anterior knee pain getting worse as going down hill and griniding or clicking sensation at the front of the knee and pseudolocking