The Hip - book

Hip Aspiration / Anterior Hip Capsulotomy

– See: hip capsule – Discussion:     – femoral neck frx may increase intracapsular pressure and capsular distention;     – this may decrease perfusion through the capsular vessels and contribute to development of osteonecrosis;     – immediate joint aspiration following femoral neck frx may reverse intracapsular pressure and AVN; – Capsulotomy Technique: … Read more

Hip Capsule

– See: Anterior Capsulotomy – Discussion:     – fibrous capsule encloses hip joint & greater part of neck of femur;          – it encloses the femoral head and most of its neck;          – capsule is attached anteriorly at the intertrochanteric line;          – posteriorly … Read more

Embryology of the Hip

– Discussion: (see limb development);             – at 4 to 6 gestational weeks, the hip joint develops from the cartilaginous anlage;             – by 7 weeks a cleft develops between precartilagenous cells which are programmed to form the femoral head and acetabulum;         … Read more

Hip Dislocation

– Discussion:     – dislocate the hip posteriorly by flexing, adducting, and gently  internally rotating the hip;          – this may drive the femur against posterior edge of acetabulum;     – place bone hook beneath femoral neck at level of lesser troch. to  gently lift the head out of the acetabulum;   … Read more

Hip, Femur and Knee Procedures

   26990     I&D DEEP ABSCESS PELVIS/H    27025     OBER-YOUNT FASCIOTOMY W/C    27030     ARTHROTOMY HIP FOR DRAINA    27035     HIP JOINT DENERVATON    27047     EXCISION TUMOR BENIGN DEEP HIP    27050     ARTHROTOMY FOR BX SACROIL    27065     EXCISION BONE CYST/TUMOR HIP   … Read more

High Ulnar Nerve Lesions

– See:     – Tendon transfers:     – Nerve Repair:     – Combined Injuries of the Median and Ulnar Nerves: – Discussion:     – ulnar innervated intrinsic muscles of hand, FCU, & FDP units to ring & little fingers & part of long finger;     – functional deficit:     … Read more

Hill Sachs Lesion

– See Reverse Hill Sach Lesion: – Discussion:     – posterolateral humeral head indentation fracture is created occuring from anterior shoulder dislocation, as soft base of  humeral            head impacts against relatively hard anterior glenoid;     – occurs in 35-40% of anterior dislocations & upto 80 % of recurrent … Read more

DVT Risk Reduction – Hip Fracture

choice of anesthesia in elective hip surgery there is three-fold decrease in thromboembolic complications from the use of regional anesthesia and graded compression stockings reference – Prevention of thromboembolism following elective hip surgery. The value of regional anesthesia and graded compression stockings. role of heparin Low-molecular-weight heparinoid compared with warfarin for prophylaxis of deep-vein thrombosis … Read more

Hip Adductors

– See: Innervation – Discussion:     – adductors of the thigh take origin from body & inferior ramus of pubis & from ramus of ischium & insert on medial side of femur;     – innervated obturator nerve; – Adductors Include:     – adductor bevis     – longus     – magnus     – … Read more

Hip Arthrodesis

– Discussion:     – hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone).     – they also occur spontaneously due to ankylosing spondylitis;     – surgical fusions are performed for young adults with advanced arthritis;     – indications:         … Read more