MSK - Hip Examination

Question 1

VIVA

What is trochanteric bursitis and who does it normally affect?

Answer 1

Trochanteric bursitis is where there is inflammation of the tissues overlying the greater trochanter
It causes pain at the outside of the upper thigh
It commonly affects middle aged females

Question 2

VIVA

List some causes of hip pain in children

Answer 2

Developmental dysplasia of the hip
Perthes disease
Slipped capital femoral epiphysis
Septic arthritis

Question 3

VIVA

How would you classify hip/neck of femur fractures and how would each type be managed?

Answer 3

Intracapsular:
Displaced >60y → THR if active, hemiarthroplasty if not
<60y or undisplaced → try cannulated screws

Extracapsular:
Intertrochanteric →dynamic hip screw or gamma nail
Subtrochanteric →intra-medullary nail

Question 4

VIVA

What are the possible complications of hip fractures?

Answer 4

Infection
Blood loss
Fracture-non-union/abnormal healing
Avascular necrosis
DVT

Question 5

Causes of leg length shortening

Answer 5

Question 6

THR - indications, complications, contraindications?

Answer 6

Question 7

NOF #?

Answer 7

Question 8

Hip flexor muscles?

Answer 8

Question 9

Hip extensor muscles?

Answer 9

Question 10

Hip ABductor vs ADductor muscles?

Answer 10

Question 11

How to do Thomas’s test?

Answer 11

Question 12

Trendelenburg test?

Answer 12