ortho- hip Flashcards

1
Q
  • shortened leg
  • externally rotated hip

what?

A

Hip FracturE

Externally- E- fracturE

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2
Q
  • shortened limb
  • internal rotation

what?

A

-posterior dislocation (90%)

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3
Q
  • normal limb length
  • hip dislocation

what?

A

anterior dislocation of hip

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4
Q

extracapsular hip fracture
-reverse oblique, transverse or subtrochanteric

treatment?

A

-intramedullary nail

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5
Q
  • extracapsular fracture
  • (not reverse oblique, transverse or subtronchanteric)

treatment?

A

dynamic hip screw

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6
Q
  • intracapsular hip fracture
  • undisplaced
  • healthy patient

management?

A

internal fixation

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7
Q
  • intracapsular hip fracture
  • undisplaced
  • frail patient

management?

A

hemiarthroplasty

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8
Q
  • intracapsular hip fracture
  • displaced
  • independant patient

management?

A

-THR

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9
Q
  • intracapsular hip fracture
  • displaced
  • dependant patient

management?

A

-hemiarthroplasty

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10
Q

risk factors for avascular necrosis?

A
  • long term steroid use
  • chemotherapy
  • alcohol
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11
Q

Xray findings for avascular necrosis?

A
  • flattening of femoral head
  • hanging rope sign
  • widening of joint space
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12
Q

management of avascular necrosis?

A

decompression= drill holes into affected head

If evidence of bone collapse= total hip replacement

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13
Q

presentation of trochanteric bursitis?

A
  • trochanteric pain + stiffness

- pain on abduction

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14
Q

management of trochanteric bursitis?

A
  • analgesia + NSAIDs

- steroid injections

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15
Q

treatment for hip dislocations?

A
  1. ABCDE
  2. Reduction in GA within 4 hours

long term= physio

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16
Q

complications of hip dislocation?

A
  • sciatic or femoral nerve injury
  • avascular necrosis
  • recurrent dislocations
  • osteoarthritis