MSRA: Hip Problems

Question 1

What are the surgical options for hip fractures?

Answer 1

Intracapsular fracture (displaced) hemi or total HR

Extracapsular
Inter-trochanteric - dynamic hip screw
Sub-trochanteric - intramedullary nail

Question 2

What is meant by trochanteric bursitis?

Answer 2

Lateral sided hip pain although the hip joint is not involved
Pain with palpation
Most common in women aged 50-70

Question 3

What are the ‘at-risk’ positions for THR dislocation?

Answer 3

Excessive flexion, adduction, or rotation
Climbing out of a low seat chair is a classic cause
Crossing of ankles when lying down
Sleeping on the side of the replacement hip

Question 4

in an intra-capsular neck of femur fracture, when should a total arthroplasty be considered over a hemi-arthroplasty?

Answer 4

All three:

1. Able to walk with no more than a stick
2. No cognitive impairment
3. Medically fit for anaesthetic/surgical procedure

Question 5

What are the key features of transient idiopathic osteoporosis?

Answer 5

Third trimester
Raised ESR

Question 6

What are the features of posterior hip displacement?

Answer 6

Shortened and internally rotated leg