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OCS Study Guide

Treatment Based Classification System Featuring The Invertabelt

Treatment Based Classification System Featuring The Invertabelt  
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Hip Fractures

Hip Fractures   Defined as a condition in which the proximal end of the femur, pelvis or acetabulum is fractured. -very serious injury in patients over the 65 years -femoral fracture can take 3-6 months to heal -high mortality rate long term disability and huge socio-economic burden -1.66 million -Osteoporosis and cognitive impairment high risk...
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Femoral Neck Stress Fractures

Femoral Neck Stress Fractures   Two types: -Compressions side (inferior medial side) -Tension Side (superior lateral side) Causes: -Repetitive loading of the femoral neck -Microcosmic fractures of the femoral neck -Microfractures unable to heal secondary to continued repetitive loading -With continued loading a crack is initiated and eventually propagated -Common in runners or repetitive running...
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Pelvic Ring Fractures

Pelvic Ring Fractures    -Blunt trauma is the most common cause -High mortality rate (15-25%) -With hemorrhaging being cause of death -Age greater then 60 Associated injuries: -Spine fractures -Chest injuries -Sexual dysfunction -Long bone fractures Outcomes: -Poor functional outcomes -Chronic pain -SI dysfunction -Leg lengthen discrepancy common (greater than 2 cm) Anatomy: -Ring is...
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Slipped Capital Femoral Epiphysis

Slipped Capital Femoral Epiphysis: Risk factors: -Insidious onset -Adolescent disease ages 10-17 y/o -More common in obese males -20% chance of contralateral leg developing pathology within 18 months Presentation: Begins with anterior thigh pain, usually with no mechanism of injury.  The physis (growth plate) fractures at the head of the femur.  The head of the...
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Legg-Calves Perthes’ Disease

Legg-Calves Perthes’ Disease Risk Factors: -Children ages 4-8 y/o -4.5:1 ratio of male to females -Increase risk with family history -Low percentage of cases are bilateral -Higher rate among Caucasians versus African Americans Clinical Presentation: Legg Calves Perthes is an avascular necrosis or loss of circulation to the femoral head.  The arteries affected are the...
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Hip Dysplasia

Hip Dysplasia Dysplasia is defined as the abnormal growth or development of a tissue or organ.    Hip dysplasia is an underdeveloped or shallow acetabulum.  This can lead to general joint laxity subluxation or dislocation. Congenital Hip dysplasia is very common and is considered the most common orthopedic dysfunction in newborns at 1:100.  1:1000 will experience...
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Hip OA Part I

Hip OA Part I Hip pain associated with osteoarthritis is the most common hip pain in the older population with a prevalence between .4% to 27%. Risk factors – <60 years old -Developmental disorders -Legg-Calve Perthes disease -Congenital hip dislocation -Slipped Capital Epiphysis -Dysplasia -Coxa vara, coxa valga, femoral anteversion, femoral retroversion, acetabular anteversion, acetabular...
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Hip OA Part II

Hip OA Part II Examination-Classification According to the American College of Rheumatology patients can be classified as having hip OA if they present with pain and either of the following cluster findings: -Hip IR less than 15 degrees, with pain -Hip flexion of less than 115 degrees -age greater then 50 OR -Hip IR less...
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Osteitis Pubis

Osteitis Pubis Characterized as an overuse injury resulting in tissue damage and inflammation to the pelvis at the pubic symphysis.  The most common symptom is groin pain. The pelvis consists of the sacrum and two iliums.  The iliums connect anteriorly at the pubic symphysis.  The pubic symphysis is made up of cartilage which helps to...
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