Hip Problems

Question 1

What is FAI

Answer 1

Femoroacetabular impingement syndrome

Question 2

What is FAI

Answer 2

Altered shaped of femoral neck or acetabular

Question 3

What is cam impingement

Answer 3

( extra bump on femoral head)

Young athletics males, asymmetric

Question 4

What is pincer type impingement

Answer 4

Acetabular deformity

Females

Question 5

What does Cam and pincer cause

Answer 5

Damage to labrum and tears
Damage to cartilage
OA in later life

Question 6

What symptoms of FAI

Answer 6

Locking symptoms and release
History of trauma
Activity related pain in the groin

Question 7

Management of Fai

Answer 7

Asymptomatic - observe
Symtomatic : atropscopic or open surgery to remove the thing , peri - acetabular osteotomy
Arthroplasty older patients with secondary OA

Question 8

What avascular necrosis

Answer 8

Failure of the blood supply to the femoral head

* usually idiopathic)

Question 9

Ix for avascular necrosis

Answer 9

MRI

Question 10

Stage of avascular necorsis And treatment

Answer 10

Stage 0-2 = reversible = joint preservation via core decompression, currettage / bone grafting, vascularised fibular bone graft
Stage 3-6 = irreversible = replace joint

Question 11

What is trochanteric

Answer 11

Self liming

Repeat trauma caused by iliobial band tracking over trochanteric bursa - causes inflammation of the bursa

Question 12

Symptoms of trochanteric bursitis

Answer 12

Pain on lateral aspect of the hip

Question 13

Management of trochanteric bursitis

Answer 13

Analgesics
NSAIDs
Physio
Steroid injecirton

Question 14

Risk factors for hip fractures / femur neck fractures

Answer 14

osteoporosis 
Smoking 
Malnutrition 
Excess alcohol 
Neurological impairments 
Impaired vision 
Low bmi

Question 15

Blood supply to head of femur

Answer 15

Intramedullary artery of shaft of femur
Medial and lateral circumflex branches of profunda femoris
Artery of ligamentum teres

Question 16

What happens if you have a femur neck fracture

Answer 16

Only blood supply remaining is ligamentum teres which isn’t enough

Question 17

Types of hip fractures

Answer 17

Intracapsular

Extracapsular

Question 18

Two types of intracapular

Answer 18

Sub capital

Transcerivcal

Question 19

Types of extracapsular

Answer 19

Basicervical
Intertrochanteric
Reverse oblique
Subtrochantertic

Question 20

Loss of shentons line

Answer 20

Sign of fractured neck of femur

Question 21

Intracapusular, high function, displaced

Answer 21

Total hip replacement

Question 22

Intracapular, high function, undisplaced

Answer 22

Compressive / dynamic hip screw

Question 23

Intracapsular, low function

Answer 23

Hemi - arthroplasty

Question 24

Extracapsular, intertroch

Answer 24

Compressive / dynamic hip screw

Question 25

Extracapsular, subtroch

Answer 25

Intramedullary nail

Question 26

Complications of intracapsular

Answer 26

Non union

Avascular necrosis

Question 27

Complications of extracapsular

Answer 27

Malunion, non - union

Question 28

Broken, displaced

Answer 28

Reduce it ( open/ close) + stabilised

Question 29

Broken, not displaced, unstable

Answer 29

Stabilise it

Question 30

Broken, not displaced, not unstable

Answer 30

Splint / cast

Question 31

Not broken

Answer 31

Leave alone, duh