Term
| Most of the blood supply of the femoral head is derived from the |
|
Definition
| MEDIAL and lateral femoral circumflex arteries |
|
|
Term
| ________ is not adequate blood supply to the head of femur |
|
Definition
| artery of ligamentum teres |
|
|
Term
| femur neck shaft angle normal |
|
Definition
|
|
Term
| avg anteversion in adults |
|
Definition
|
|
Term
| medial femoral circumflex artery is _______ while the lateral is _________ |
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Definition
|
|
Term
| pain may present in the hip with |
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Definition
|
|
Term
| approx what percent of the femoral head is covered by acetabulum in any given ROM |
|
Definition
|
|
Term
| used to test difference in knee height caused by hip pathology |
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Definition
|
|
Term
| if the femoral head collapses or dislocates into the pelvis you can have a |
|
Definition
|
|
Term
|
Definition
|
|
Term
-no acetabulum
-head has collapsed |
|
Definition
| Dysplastic acetabulum (acetabular dysplasia) |
|
|
Term
| hip dislocation seen in adults who are hemiplegic |
|
Definition
| Congenital Hip Dislocation |
|
|
Term
| can cause leg length discrepancy |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
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Term
|
Definition
|
|
Term
-test to distinguish hip pain from back pain
-positive with pain
-abduction and external rot of hip
-cross leg on other leg
-dec ROM could indiate arthritic joint |
|
Definition
|
|
Term
|
Definition
|
|
Term
| pain over the greater trochanter in younger athletes |
|
Definition
| Iliotibial band tendonitis |
|
|
Term
| loose bodies of cart floating around in the joint, could be froma hernia |
|
Definition
|
|
Term
-hypertrophy of synovium
-in the knee
-dev villi just like in the intestine - hypertrophic, pigmented, red |
|
Definition
| Pigmented Villonodular Synovitis (PVNS) |
|
|
Term
| labrum inverts on itself causing pain |
|
Definition
|
|
Term
| cause of hip dislocations |
|
Definition
|
|
Term
| how to diagnose a labral tear |
|
Definition
|
|
Term
| hyaline cartilage pieces tumbling around in the joint becoming smooth round and shiny and can impinge and cause dec ROM and ischemia |
|
Definition
|
|
Term
| -cracks form in the articular cartilage and the underlying subchondral bone |
|
Definition
| Osteochaondritis dissicans (OCD) |
|
|
Term
| blood deprivation to the subchondral bone causing AVN, when bone is reabsorbed the articular cartiliage fragments forming osteochondral fragments in the jointspace |
|
Definition
|
|
Term
| Pain in the suprapatellar region, medial thigh, buttocks |
|
Definition
| referred pain from the hip |
|
|
Term
| children with knee pain must be checked for |
|
Definition
|
|
Term
| in children an epiphyseal fx of the femoral head can radiate pain thru the obturator nerve to the |
|
Definition
|
|
Term
| degenerative disease of the hip |
|
Definition
|
|
Term
| what condition may cause the pt weakness of the gluteus muscle over time and may dev a glut med type of limp (trendelenberg sign) |
|
Definition
| Osteoarthritis of the hip |
|
|
Term
|
Definition
|
|
Term
collapsed joint
spurs form
sclerosis |
|
Definition
|
|
Term
| femoral head protrudes into the pelvis |
|
Definition
|
|
Term
| may injure the illiac vessels |
|
Definition
|
|
Term
| conservative therapy for OA is based on |
|
Definition
| preservation of activity and control of pain - activity modification, assistive devices |
|
|
Term
| surgical tx for OA often calls for |
|
Definition
|
|
Term
| what drug for OA can cause Pancytopenia or a dec in all cells in the blood stream and is reserved for when all else fails |
|
Definition
|
|
Term
| grooves in the hip prosthesis allow |
|
Definition
| bone to grow into it and hold it into place |
|
|
Term
-procedure that tends to fail
-only replace head of the femur |
|
Definition
|
|
Term
-injury that does not heal well
-fx of bone surrounding a prosthesis |
|
Definition
|
|
Term
| what about leg length after hip prosthesis |
|
Definition
| it is expected that you will not have the same leg length |
|
|
Term
-25% chance after total hip replacement
-dx with doppler study or venogram
-need prophylaxis before total hip |
|
Definition
|
|
Term
-1% after total hip
-prophylaxis |
|
Definition
|
|
Term
compression stockings
sequential pressure boot
coumadin (warfarin)
low molecular weight heparin
continuous passive motion (CPM) |
|
Definition
|
|
Term
| low molecular weight heparin tx for |
|
Definition
| bed ridden geriatric pts, once per day |
|
|
Term
| prosthesis is removed after an infection, a spacer is placed with cement abx - monitor pts until better, devastating for the pt |
|
Definition
|
|
Term
| up until the 20th century a broken hip was a death sentence due to |
|
Definition
blood lose (2-3 units of blood)
infection
DVT
ambulation |
|
|
Term
| can bear weight on hip but very painful ROM |
|
Definition
| Impacted non displaced fx |
|
|
Term
capital fx
subcapital fx
transcervical fx
basicervical fx |
|
Definition
|
|
Term
basicervical fx
trochanteric fx
subtrochanteric fx |
|
Definition
|
|
Term
| tells us how to tx an intracapsular fx |
|
Definition
|
|
Term
-fx non displaced, not thru whole neck
-pins to hold in place, no replace |
|
Definition
|
|
Term
-non displaced fx thru whole neck
-replace head
-some pin it |
|
Definition
|
|
Term
-displaced fxs of the neck
-total hip replacement |
|
Definition
|
|
Term
| proximal part of the femur is broken off so you need a prosthesis that is a little longer and anchors lower in the femur |
|
Definition
|
|
Term
|
Definition
non displaced - pin it
displaced - replace it |
|
|
Term
|
Definition
|
|
Term
|
Definition
| type II intertrochanteric |
|
|
Term
| 3 part, loss of posterior lateral support |
|
Definition
| type III intertrochanteric |
|
|
Term
| 3 part, loss of medial support |
|
Definition
| Type IV intertrochanteric |
|
|
Term
|
Definition
|
|
Term
| tx for type I intertrochanteric fx |
|
Definition
|
|
Term
| plate anchoring outside of the femur and then screw thru the plate that extended thru the neck and head of the femur |
|
Definition
|
|
Term
| tx for type I intertrochanteric fx |
|
Definition
|
|
Term
| insertion thru the femur, insertion thru the neck and head, anchoring screw mid shaft of the femur |
|
Definition
|
|
Term
| non displaced subtrochanteric fx |
|
Definition
|
|
Term
| tx for a subtrochanteric fx Grade I |
|
Definition
|
|
Term
|
Definition
|
|
Term
| anterior hip dislocation is a result of |
|
Definition
| abduction and external rot (like if you pushed the Fabre test too far) |
|
|
Term
| posterior hip dislocation is a result of |
|
Definition
| longitudinal force is applied in line with the femur and acting on adducted hip - DASHBOARD INJURY |
|
|
Term
| which breaks more femur or pelvis |
|
Definition
|
|
Term
| flexed at hip, adducted and internally rotated |
|
Definition
|
|
Term
| externally rotated with varying degrees of flexion and abduction |
|
Definition
|
|
Term
| used for tx of a dislocated hip w/o fx |
|
Definition
|
|
Term
| ________ reduction of hip is preferred |
|
Definition
|
|
Term
| reduction of hip should be done with |
|
Definition
|
|
Term
| posterior dislocaiton of the hip can cause |
|
Definition
| AVN due to injury to the medial femoral circumflex artery |
|
|
Term
| posterior dislocaiton of the hip can cause |
|
Definition
| sciatic nerve palsy - foot drop |
|
|
Term
| posterior dislocaiton of the hip can cause |
|
Definition
|
|
Term
| numbness in the anterior part of the leg |
|
Definition
|
|
Term
|
Definition
| pinching of the lateral femoral cutaneous nerve |
|
|
Term
|
Definition
| tx for meralgia paresthetica |
|
|
Term
| what do women with tight jeans and truck drivers have in common? |
|
Definition
|
|
Term
| can cause mushroom shaped head |
|
Definition
| adult congenital dislocation of the hip |
|
|
Term
-MRI
-holes and dark areas
-been there for a while
-AVN of the hip |
|
Definition
| cystic changes in the head |
|
|
Term
steroids
EtOH
trauma
Caissons Disease
Radiation |
|
Definition
|
|
Term
| the bends, divers get it, pressure changes and release of nitrogen bubbles into the bone |
|
Definition
|
|
Term
| cut out the core of the femoral anatomical neck and intertrochanteric space to allow bleeding to reperfuse the area, but it severely weakens the hip |
|
Definition
|
|
Term
|
Definition
core decompression
fibula vascularized stress graft |
|
|
Term
| core of fibular head is replaced with part of the fibula and then pedicle vessesl of the graft are anastomosed with the lateral femoral circumflex artery |
|
Definition
| fibula vascularized stress graft |
|
|
