Term
| What is the most common strain/sprain in the hip? |
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Definition
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Term
| What is the 2nd most common strain/sprain in the hip? |
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Definition
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Term
| What needs to be ruled out with strains/sprains of the hip, especially if the patient denies injury? |
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Definition
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Term
| What is the treatment for strains and sprains at the hip? |
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Definition
rest, ice, gentle stretching as it heals
slowly return to activities as permitted
may include anti-inflammatories and acetominophen |
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Term
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Definition
| direct blow (contusion) to the anterior superior iliac spine |
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Term
| What is the treatment for a hip pointer? |
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Definition
rest, ice, gentle stretching
gradually return to activities
anti-inflammatories and acetominophen |
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Term
| What activities are hip pointers common in? |
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Definition
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Term
| What does a patient with greater tronchanteric bursitis complain of? |
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Definition
-pain at lateral aspect of their hip
-hurts to lie on that side of their body (sleeping)
-tender to palpation at greater tronchanter where bursa is located |
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Term
| What is the treatment for greater tronchanteric bursitis? |
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Definition
-physical therapy
-ice
-stretching
-anti-inflammatories/acetominophen (no longer than a few weeks)
-steroid shot (AFTER acute phase) |
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Term
| How long should you wait to give a steroid shot in a patient with greater tronchanteric bursitis? |
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Definition
| 6-8 weeks (most patient will improve with time and an injection may not be needed) |
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Term
| What is a common complaint of older patients who have hip dysplasia? |
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Definition
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Term
| What PE finding is common with hip dysplasia? |
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Definition
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Term
| What are other names for hip dysplasia? |
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Definition
developmental dysplasia of the hip (DDH)
congenital dysplasia of the hip (CDH)
developmental dislocation of the hip |
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Term
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Definition
| malalignment of the hip which predisposes the hip to abnormal function and over time the hip will wear out |
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Term
| What occurs secondary to hip dysplasia and is usually the source of pain? |
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Definition
| osteoarthritis of the hip |
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Term
| What can be see on an x-ray in a patient with hip dysplasia that leads to the hip being easily displaced? |
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Definition
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Term
| What are conservative treatment options for hip dysplasia? |
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Definition
anti-inflammatories
physical therapy
steroid injections |
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Term
| What are surgical treatment options for hip dysplasia? |
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Definition
arthroscopy (if no OA)
osteotomy (re-alignment of the joint)
total hip arthroplasty (hip replacement) |
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Term
| What is the second most common joint affected by OA? |
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Definition
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Term
| What disease do you need to be careful about when thinking about doing steroid shots? |
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Definition
| diabetes (blood sugar needs to be under 140) |
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Term
| What type of pain is common with OA of the hip? |
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Definition
| pain in the groin that radiates to the knees |
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Term
| What do you need to always check in an older patient complaining of knee pain and why? |
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Definition
their hips
many times the knee pain is referred pain from OA of their hips |
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Term
| What type of hip rotation causes pain in a patient with OA? |
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Definition
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Term
| What type of gait might be present in a patient with OA of the hip? |
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Definition
| Trendelenberg (weakness of gluteus medius) |
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Term
| What are common x-ray findings with hip OA? |
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Definition
subchondral cysts
osteophytes (bone spurs) |
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Term
| What is the treatment for OA of the hip? |
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Definition
similar to OA of the knee
conservative (anti-inflammatories, PT, steroid shots)
surgery--total hip replacement (THA) |
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Term
| What hip fracture predisposes someone to AVN of the hip? |
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Definition
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Term
| What is an early sign of AVN of the hip? |
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Definition
| crescent sign (fracture between the subchondral bone and necrotic bone) |
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Term
| What condition is associated with a deep pain in the buttock? |
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Definition
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Term
| If an MRI is positive for AVN but the radiographs show no evidence of it, what might the patient benefit from? |
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Definition
| core decompression surgery (may be able to avoid THA altogether) |
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Term
| What is the ultimate treatment for AVN of the hip? |
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Definition
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Term
| What age group is affected by slipped capital femoral epiphysis (SCFE)? |
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Definition
| adolescents (primarily heavier ones) |
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Term
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Definition
| epiphyseal plate slides off the long bone of the femur (mataphysis), displacing the position of the femur |
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Term
| What needs to be done at diagnosis of SCFE? |
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Definition
immediately put pt. non-weight bearing and refer to orthopedic surgeon
pt. needs surgery right away! |
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Term
| What kind of gait do kids with SCFE usually present with? |
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Definition
| leg externally rotated (less painful) |
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Term
| What hip rotation will cause increased pain with SCFE? |
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Definition
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Term
| If you suspect SCFE but do not have available x-rays, what should you do? |
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Definition
| treat them as if they do have SCFE (non-weight bearing and referral to ortho) |
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Term
| What is Legg-Calve-Perthes disease (LCP)? |
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Definition
| idiopathic osteonecrosis of the capital femoral epiphysis of the femoral head (similar to AVN) |
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Term
| What age group is affected by Legg-Calve-Perthes disease? |
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Definition
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Term
| How is LCP generally treated if caught early? |
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Definition
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Term
| With regard to Legg-Calve-Perthes disease, the younger the child, the _______ the results. |
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Definition
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Term
| What is the most common presenting symptoms of LCP disease? |
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Definition
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Term
| A ______ in a child is ALWAYS abnormal. |
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Definition
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Term
| LCP films may be _________ at first, just like with AVN> |
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Definition
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Term
| If there is a high suspicion of LCP and the x-rays were normal, what should you do? |
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Definition
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Term
| LCP is generally unilateral/bilateral. |
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Definition
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Term
| What are the conservative treatments for LCP? |
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Definition
anti-inflammatories
physical therapy for ROM
crutches for non-weight bearing
bracing may allow healing |
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Term
| What surgical option is available for a patient with LCP who does not heal conservatively? |
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Definition
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