PT Management of Selected Hip Pathology Flashcards

Question

What is Therex for phase 3 according to JOSPT?

Answer 1

transverse stabilization, unilateral postures, eccentric work at end range , agility and sport specific work

Answer 2

are they willing to cut on weak leg when asked to unexpectedly change direction

Answer 3

incomplete rehab, impaired healing response- fibrosis at injury site due to fibers not being straight (soft tissue work)

Answer 4

its remodels collagen fibers and builds hypertrophy as well as neural activation

Answer 5

it increases energy required to strain a muscle to failure, ability of muscle to resist length is important (eccentric control)

Answer 6

avoid hip flexion greater than 60 degrees

Answer 7

6-12 weeks

Answer 8

Aching pain lateral aspect of hip – Tenderness at greater trochanter – 40-60 year-old – History of OA or RA

Answer 9

* ITB restrictoin * Iliopsoas restriction * Gluteal weakness

Answer 10

– Iliopsoas tightness – Rectus femoris tightness – Tensor fascia latae tightness • Anterior capsuloligamentous contracture

Answer 11

Osteoarthritis – History of hip injury – Flexed postures (sitting at desk all day)

Answer 12

``` – Load shifted to a region with thinner hyaline cartilage • Femur & acetabulim – Anterior tilt of pelvis – ↑ Lumbar lordosis ```

Answer 13

Thomas Test/Modified TT • Eliminate lumbar lordosis – Flex opposite hip – Posterior pelvic tilt • Extend hip

Answer 14

Disorder of synovial joint – Deterioration of articular cartilage & new bone formation dx: with X-ray

Answer 15

– Stiffness – Pain Lateral hip, anterior thigh, knee, groin

Answer 16

• Primary(20%) – No predisposing mechanical factor ``` • Secondary(80%) – End result of a disease process • Osteonecrosis • Legg-Calve-Perthes Disease • Dysplasia • Slipped capital femoral epiphysis • Congenital coxa vara / coxa valga • Hip fracture ```

Answer 17

• Maintain function • Relieve symptoms • Prevent deformity • Education – Hip joint protection

Answer 18

– Reduce Inflammation • Responsible for pain – improve Joint alignment – increase ROM –improve Muscle length and Muscle strength

Answer 19

use a bag pack to move weight posteriorly, body weight reduction (pool, swimming, upper body), assistive device use

Answer 20

3 pound reduction load on hip

Answer 21

cemented vs uncemented

Answer 22

Full WB immediately | • Potential for loosening due to cement

Answer 23

delayed WB

Answer 24

Posterior – Flexion, Adduction, IR – External rotators divided • Anterior – Extension, ER – Minimal incision • Direct Lateral – None – Low dislocation rate – Abductor mechanism impacted

Answer 25

``` Early Complications • Thromboembolic event – DVT • Infection – Rate = 1% • Dislocation – ↑ risk with posterior approach – Pseudocapsule formed at 6 months – Late Complications • Implant loosening ```

Answer 26

20% within 1 year die

Answer 27

``` • AcuteCare – DVT risk- • Wells Predictor Rules – Bed mobility – WB status – Transfer ability – Gait safety – D/C planning ```

Answer 28

– Ankle pumps, quad and glute sets – Plan the room for transfers and gait – Appropriate assistance with gait – AD choice

Answer 29

``` Active cancer • Paralysis, immobilization • Bedridden, major surgery • Local tenderness smoking, long recent travel ```

Answer 30

``` • Acute Care – Out of bed, safe gait, D/C planning • Sub Acute Care – Gait and transfer ability and endurance – ADL adaptations – Plan for return home ( if possible) • ChronicCare – Strength, gait, ADL issues ```

Answer 31

Bloodsupplytoheadoffemurdisrupted – Subsequent fracture with poor healing • Unknown cause • 4-8 year-old boys most common • Gradualonsetofpain • Shortleg • Recoverymaytake2years – Bone remodeling

Answer 32

– Adolescent males – Overweight – Knee or groin pain – Short limb MED EMERGNCY