ortho- hip Flashcards
- shortened leg
- externally rotated hip
what?
Hip FracturE
Externally- E- fracturE
- shortened limb
- internal rotation
what?
-posterior dislocation (90%)
- normal limb length
- hip dislocation
what?
anterior dislocation of hip
extracapsular hip fracture
-reverse oblique, transverse or subtrochanteric
treatment?
-intramedullary nail
- extracapsular fracture
- (not reverse oblique, transverse or subtronchanteric)
treatment?
dynamic hip screw
- intracapsular hip fracture
- undisplaced
- healthy patient
management?
internal fixation
- intracapsular hip fracture
- undisplaced
- frail patient
management?
hemiarthroplasty
- intracapsular hip fracture
- displaced
- independant patient
management?
-THR
- intracapsular hip fracture
- displaced
- dependant patient
management?
-hemiarthroplasty
risk factors for avascular necrosis?
- long term steroid use
- chemotherapy
- alcohol
Xray findings for avascular necrosis?
- flattening of femoral head
- hanging rope sign
- widening of joint space
management of avascular necrosis?
decompression= drill holes into affected head
If evidence of bone collapse= total hip replacement
presentation of trochanteric bursitis?
- trochanteric pain + stiffness
- pain on abduction
management of trochanteric bursitis?
- analgesia + NSAIDs
- steroid injections
treatment for hip dislocations?
- ABCDE
- Reduction in GA within 4 hours
long term= physio