Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
MOI of fracture of proximal femur
|
-usually traumatic (falls)
-stress fracture (femoral neck, history of endurance exercise) |
|
|
signs and symptoms of fracture of proximal femur
|
-pain (groin, anterior thigh, trochanter)
-apparent shortening of involved LE -unable to weight-bear -limited ROM |
|
|
management of fracture of proximal femur
|
-protection (decrease WB, brace)
-surgical (ORIF) |
|
|
outcomes of fracture of proximal femur
|
-20% die w/in one year
-25% who were living independently have 1+ year stay in nursing home/SNF |
|
|
osteoarthritis
|
-common cause of hip and groin pain
|
|
|
signs and symptoms of osteoarthritis
|
-morning stiffness
-decreased ROM -capsular pattern |
|
|
loose body
|
-cartilage or bone fragment in joint
-not a problem until it enters joint space |
|
|
signs and symptoms of loose bodies
|
-sudden onset of pain w/ WB
-decreased ROM |
|
|
management of loose bodies
|
-manipulation
-surgical excision (only required if you can't get body unstuck) |
|
|
avascular necrosis of the femoral head
|
-aseptic necrosis, osteonecrosis
-ischemia (bone dies, then collapses) -more common in males -30-50 |
|
|
causes of avascular necrosis of the femoral head
|
-trauma (fracture, dislocation)
-vascular occlusion (embolus, thrombus) -idiopathis (10-20%) |
|
|
signs and symptoms of avascular necrosis of the femoral head
|
-pain
--insidious onset --groin, prox thigh, buttock, or hip --initially @ WB, later @ rest -decreased ROM late stage |
|
|
management of avascular necrosis of the femoral head w/ little or no deformity
|
-decrease WB
-core decompression -PT (strengthening, gait training, stretching) |
|
|
management of avascular necrosis of the femoral head, advanced stages
|
-arthroplasty
-will be either partial or total depending on acetabular involvement |
|
|
acetabular labrum tears
|
-common cause of hip/groin pain
|
|
|
causes of acetabular labrum tears
|
-degeneration
-traumatic (twisting, falling, repetitive microtrauma) -dysplastic (abnormally formed/developed) -idiopathic |
|
|
signs and symptoms of acetabular labrum tears
|
-pain (especially in WB)
-clicking, catching, locking -painful ROM (in combined movements) -comfirmed w/ MRI |
|
|
management of acetabular labrum tears
|
-rest
-protection (decrease WB depending on severity) -NSAIDS -surgical (arthroscopic resection, repair) |
