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Hip osteoarthritis

Revision as of 12:55, 27 August 2024 by Nikolas (talk | contribs) (Created page with "<section begin="orthopaedics" />* Osteoarthritis of the hip * Clinical features ** Morning stiffness ** Inguinal pain or pain above greater trochanter *** Can refer to the thigh and knee ** Contractures (reduced ROM) *** First movement affected: internal rotation ** Limp ** Muscle atrophy around hip and thigh ** Limb length difference * Diagnosis ** By conventional x-ray ** AP view and Lauenstein (frog-leg) view x-ray *** Narrow joint line *** Subchondral sclerosis *...")
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  • Osteoarthritis of the hip
  • Clinical features
    • Morning stiffness
    • Inguinal pain or pain above greater trochanter
      • Can refer to the thigh and knee
    • Contractures (reduced ROM)
      • First movement affected: internal rotation
    • Limp
    • Muscle atrophy around hip and thigh
    • Limb length difference
  • Diagnosis
    • By conventional x-ray
    • AP view and Lauenstein (frog-leg) view x-ray
      • Narrow joint line
      • Subchondral sclerosis
      • Subchondral cysts
      • Osteophytes
  • Treatment
    • Conservative
      • Frequent exercise
        • Especially joint-friendly exercises, like swimming, cycling
      • Weight loss
      • Physical therapy
      • NSAIDs
      • Orthopaedic shoes
      • Crutch on affected side
    • Surgical
      • Only if conservative treatment isn’t sufficient (late stage)
      • Total hip replacement