Hip disorders 2
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| Reaction of bone caused by accelerated , unaccustomed, repeated submaximal, cumulative stresses rather than a specific traumatic episode is called a what? | Stress Fracture
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| 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
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| The following are signs of what? local edema and warmth, exquisite point tenderness, antalgic gait. | Stress Fracture
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| Diagnosis of femoral neck stress fracture is often based on what? | bone scan
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| How would you treat a femoral neck fracture? | conservatively
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| 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
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| What is the most frequent symptom for femoral neck stress fracture? | anterior hip/inguinal pain
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| What percentage of hip fractures occur in women over 65? | 79%
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| Describe a Garden I hip fracture. | incomplete or impacted fracture
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| Describe a Garden II hip fracture. | complete fracture w/o displacement
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| Describe a Garden III hip fracture. | complete fracture with partial displacement
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| Describe a Garden IV hip fracture. | complete fracture with full displacement
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| How is a Garden I and II fracture managed? | with an ORIF
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| How is Garden III and IV fracture managed? | with prosthetic replacement
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| Nonambulatory pt or pt with severe medical probs would receive what kind of hip replacement? | femoral head replacement with or without cement
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| Relatively active pt would receive what kind of hip replacement? | bipolar prosthesis with or without cement
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| A pt with DJD or RA of acetabulum would receive what kind of replacement? | THR(total hip replacement)
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| What are the two surgical approaches to hip replacement? | posterior and anterior
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| What is the advantage of a posterior approach to hip replacement? | it avoids disruption of the abductor mechanism
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| What are the disadvantages of a posterior approach to hip replacement? | higher incidence of dislocation, and greater risk to sciatic nerve
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| What is the advantage to an anterior approach to hip replacement? | lower incidence of dislocation
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| What is the disadvantage of an anterior approach to hip dislocation? | disruption of the abductor mechanism
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| With a cemented prosthesis, what would be the weight bearing status? | WBTT with walker immediately after surgery
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| With a non-cemented prosthesis, what would be the weight bearing status? | TDWB for 6-8 weeks with walker
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| What exercises should be included starting day one after a hip replacement? | quad sets, glut sets, hamstring sets, ankle pumps
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| 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
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| 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
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| 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
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| Weakness of the psoas and quadriceps; numbness along medial leg and calf are clinical signs of what? | Femoral Neuropathy
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Created by:
txst sum 2009
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