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Hip disorders 2

Reaction of bone caused by accelerated , unaccustomed, repeated submaximal, cumulative stresses rather than a specific traumatic episode is called a what? Stress Fracture
The following may be symptoms of what? Vague, aching, “tired” pain, Relieved with rest, increased with WB activity, Better on Monday, worse on Friday. Stress Fracture
The following are signs of what? local edema and warmth, exquisite point tenderness, antalgic gait. Stress Fracture
Diagnosis of femoral neck stress fracture is often based on what? bone scan
How would you treat a femoral neck fracture? conservatively
What are the symptoms for a femoral neck stress fracture? hurts to lay on hip, vague non-specific ache not relieved with rest, groin pain usually
What is the most frequent symptom for femoral neck stress fracture? anterior hip/inguinal pain
What percentage of hip fractures occur in women over 65? 79%
Describe a Garden I hip fracture. incomplete or impacted fracture
Describe a Garden II hip fracture. complete fracture w/o displacement
Describe a Garden III hip fracture. complete fracture with partial displacement
Describe a Garden IV hip fracture. complete fracture with full displacement
How is a Garden I and II fracture managed? with an ORIF
How is Garden III and IV fracture managed? with prosthetic replacement
Nonambulatory pt or pt with severe medical probs would receive what kind of hip replacement? femoral head replacement with or without cement
Relatively active pt would receive what kind of hip replacement? bipolar prosthesis with or without cement
A pt with DJD or RA of acetabulum would receive what kind of replacement? THR(total hip replacement)
What are the two surgical approaches to hip replacement? posterior and anterior
What is the advantage of a posterior approach to hip replacement? it avoids disruption of the abductor mechanism
What are the disadvantages of a posterior approach to hip replacement? higher incidence of dislocation, and greater risk to sciatic nerve
What is the advantage to an anterior approach to hip replacement? lower incidence of dislocation
What is the disadvantage of an anterior approach to hip dislocation? disruption of the abductor mechanism
With a cemented prosthesis, what would be the weight bearing status? WBTT with walker immediately after surgery
With a non-cemented prosthesis, what would be the weight bearing status? TDWB for 6-8 weeks with walker
What exercises should be included starting day one after a hip replacement? quad sets, glut sets, hamstring sets, ankle pumps
Name four hip precautions for a posterior approach to hip replacement. 1. avoid internal rotation, 2. dont let leg cross midline, 3. avoid low chairs/toilets, 4.knees should always be lower than hips in sitting
Name four hip precautions for an anterior approach to hip replacement. 1. Positions of extension, adduction and external rotation, 2. Bridging in bed to lift and move buttocks, 3.Care with strength exercises for the abductors
Sensory loss over proximal, anterior thigh (hand in pocket distribution), Pain with leg extension, walking and prone knee bend, Relief with sitting, Possible positive Tinels are clinical features of what? Meralgia Paresthetica
Weakness of the psoas and quadriceps; numbness along medial leg and calf are clinical signs of what? Femoral Neuropathy
Created by: txst sum 2009



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