OA/hip +knee Flashcards
Most common form of arthritis
OA
How much more likely are you to fall if you have OA?
2.5x yo
Patho of OA is
Multifactoria/complex/ not fully understood
First factors of OA separate into
Nonmodifiable and Modifiable
Progression of OA is
Slowww
Risk factors of Hip OA
> 60
Fam Hx
Disorder development
Trauma
Symptoms on Hip OA
- Pain in groin, butt, or referred to knee
- worse with activity or prolonged inactivity
- Morning
Signs of Hip OA
decreased/painful ROM
Fx limitations
Death of bone tissue bc of poor blood supply
Avascular necrosis (AVN)
AVN more common in
Males
Etiology of AVN
Trauma
Alcoholism
Corticosteroids
Fx
How is AVN Dx
X-ray
Bone Scan
MRI
IV for AVN
Conservative:
Rest
Estim
Surgical:
Core decompression
THA
Types of pelvic Fx
Avulsion
Stress
Osteoporotic
Trauma
Flat saclike structure in jt capsules
Bursa
Inflammation of bursa
Bursitis
Bursitis Tx
Impairment based
Abn condition of tendon
Tendinopathy
Acute inflammation of tendon
Tendinitis
Intratendon degenerative lesion
Tendinosis
Chronic inflammation of outer layers of tendon
Paratendonitis
MOI of tendinopathy
Sudden overload
Repetitive loading
Presentation of Tendinopathy
Strong and painful
Tender with palp
Pain with stretch
Tx of Tendinopathy
Itis: cryo
Osis: loading based rehab
Stretch
Massage
Load
Risk factors of sprain and strains
- Decrease flexibility, strength,endurance
- uncoordinated muscle contraction
- insufficient warm up
- prior injury
Tx for muscle injury
Depend on stage of healing
Controlled mobility and activity
Meds
Hip dislocation Tx
Closed reduction Open reduction (surgery) Modify WB Abd brace Patient edu
Labral tears with youngings and old geezers
Young: twisting
Old: Hx of dysplasia
Impingement test for hip labral tear
Hip Flexion, IR, add
Abnormal shape of femur head pinch with acetabulum
Cam lesion
Acetabular retroversion causing overcoverage
Pincer
Tx for hip labral tear
PT
NSAID
Arthroscopy
Bony osteotomy
Dysplasia
Tibial plateau Fx MOI
Valgus/varus with axial loading
Tibial plateau Fx often treated with
ORIF
Loosening of subchondral bone resulting in cartilage defragmentation
Osteochondritis Dessicans
Osteochondritis dessicans often seen
In males kneeeez
Procedures for Articular cartilage defect
Arthroscopy
Osteochondral autograft transfer
Restrict ROM
Which meniscus more susceptible to injur
Medial
Special tests for meniscal injuries
Mcmurrays
Thessaly
3 types of surgery for meniscus repair
Conservative
Partial meniscectomy
Meniscal repai
Immob and disuse decrease ligaments ability to
Resist strain and absorb force
Tx. Of collateral lig injury
Conservative (grace 1 and 2))
Surgial reconstruction
_risk of reinjury during first 12 months after tear
15x higher
2 typed of surgical reconstruction of ACL
Allograft and cadaver
With hamstring graft, no resisted Hammstring exercise for
12 weeks
ACL Rehab considerations
Protect graft
Restore ROM
Progression based
PLC rehab considerations
Protect graft
ROM
Strengthen quads
Patella prominent as quad retracts
Patella alta
+apprehension sign associated with
Patellar dislocation