ORTHOPAEDICS - ADULT
HIP DISLOCATION
PromptXray interpretation
Response
Posterior hip dislocation
No acetabular/rami/femoral fractures (although I think personally the left one has an acetabular and bilateral rami #’s at the ischial tuberosity but hey. I’m not a boss yet)
Posterior hip dislocation
No acetabular/rami/femoral fractures (although I think personally the left one has an acetabular and bilateral rami #’s at the ischial tuberosity but hey. I’m not a boss yet)
PromptFurther investigation for associated complications of this injury
ResponseCT - acetabular fracture, femoral head fracture (Femoral artery injury if CTA)
MRI - sciatic nerve injury, capsular/labral tear
MRI - sciatic nerve injury, capsular/labral tear
PromptBiomechanical principles of management of this injury
ResponseSedate well - is this a biomechanical principal?
Stabilise pelvis
Hip flexed and adducted
Traction in this position
Stabilise pelvis
Hip flexed and adducted
Traction in this position
PromptComplications of hip dislocations
ResponsePost traumatic arthritis
Femoral head osteonecrosis
Sciatic nerve injury
Recurrent dislocations
Femoral head osteonecrosis
Sciatic nerve injury
Recurrent dislocations
PromptNOF
ResponseInterestingly there were no NOF specific questions in past exams. There were FIB’s
PromptGT fracture physical examination
ResponseTender laterally over GT
Less commonly painful to axial compression
Weightbaring usually preserved
Less commonly painful to axial compression
Weightbaring usually preserved
PromptNeck of femur fracture (Intertroch) physical examination
ResponseShortened and externally rotated
Painful axial compression
Usually unable to SLR
Usually unable to weight bear
Painful axial compression
Usually unable to SLR
Usually unable to weight bear