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Ortho-Hip
Hip disorders 2
| Question | Answer |
|---|---|
| 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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