Congenital Hip Dislocation Case Study

Katz, J. N., Wright, E. A., Polaris, J. J., Harris, M. B., & Losina, E. (2014, May 22). Prevalence and risk factors for periprosthetic fracture in older recipients of total hip replacement: a cohort study. BMC Musculoskeletal Disorders, 15(1), 1-9. http://dx.doi.org/10.1186/1471-2474-15-168Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: else

A dislocation of the actebulofemoral joint is a very serious condition and need immediate medical attention. It is often accompanied with soft tissue damage; in this case a labral tear. In a case of a hip dislocation and a labral tear, an open hip surgery will need to be executed. Following the surgery, the athlete will enter phase 1 of the rehabilitation process. This phase is mainly focused on protecting the repaired tissue, regaining passive range of motion, preventing muscular inhibition, prevent gait abnormalities, decrease pain, and decrease inflammation. The main precaution of this phase is that the patient should not push through pain or pinching in the hip because it may be injuring healing tissue. Phase 1 will last for 6 weeks and

PROCEDURE IN DETAIL: The patient was brought into the operating room, after satisfactory anesthesia, was placed in the left lateral dicubitis position. The right hip was prepped and draped. A previous made incision was reopened over the greater trochanter and carried down to Illiotibial (IT) band. The IT band was opened in the direction of the skin incision. The anterior 1/3 of the gluteus medius/minimus group was reflected off the trochanter over to the anterior brim of the pelvis. The hip was dislocated. The femoral component was easily removed. It was loose in the cement. The polyethylene was loose and easily removed. There was a lot of cement in and around the acetabulum. We debridement most of this. There was a wired mesh plug that went medially into the pelvis that was left in place. There was also one in the ishium that was quite stable and it was left in place. There was a large defect in the medial wall of the acetabulum about the size of a silver dollar.

Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.

While a cure has not yet been found for Osteogenesis Imperfecta, many treatments have been discovered. Therapy is always a great option because it can help the child strengthen his or her bones and help stretch any sore joints. Doing exercises that are not so demanding on the body, such as swimming, is a great idea as well. “Bisphosphonates are drugs that increase strength and density of bones and reduce pain and fracture rate” (Osteogenesis). Bisphosphonates have been known to be very effective and greatly improve the disease, making the life of one with Osteogenesis Imperfecta much better. Metal rods have also been used to help support the bones. Surgery may also be necessary to repair any deformities to allow the person to be able to function better and with less pain.

These findings could appeal to individuals who might question if they have hip dysplasia. It could also appeal to the individuals that have developed hip dysplasia and are questioning if they could benefit more from a hip replacement or other methods. My interest in this topic began a few years ago during a recreational soccer season. My hips both were not as strong as they were during childhood. Over the course of my high school career, I have spent multiple hours at different specialists for my hips, physical therapy and hydrotherapy. Shortly after my sophomore year of high school, I decided I needed to have periacetabular osteotomy surgery. I know that there are many options to correct a hip, however, I am wondering if a PAO would be better for someone as a young adult.

In June 2016, the patient has had a second diagnostic lumbar epidural steroid injection at L1-2, L2-3, L3-4, and L4-5. He has an adequate response with increased range of motion, improve activities of daily living and pain reduction. Overall he has had 80% + improvement. He also underwent facet joint blocks at L2-3, L3-4, and L4-5 and has had axial pain relief of greater than

An incision will be made in your hip. Your surgeon will take out any damaged cartilage and bone.

Outcome measures: Pain will be assessed with Numeric Pain Rating Scale (NPRS), functional performance will be assessed with Kujala score, Patellofemoral Disability Index (PDI), and Lateral Step-up Test. Palpation meter (PALM) Inclinometer will be used to measure pelvic tilt angle, and the Baseline Bubble Inclinometer will be used to measure hip internal, external rotation and adduction. Global Rating of Change Scales (GROC) will be used to assess the overall

Patients that experience hip fractures will die within a year. Many of these fractures are due to immobility according to assessment and Management of Clinical Problems (1788). Many falls occur in the older adult population and usually age over 60. Hip fractures not only happen with falls but also can come from blunt trauma to the hip, car accident, disease like osteoporosis and obesity can all be a major concern to hip fractures. The video talks about the common hip joint site are dislocation. Hip fracture may involve both vascular and bony damage to the body. Hip fractures are determined by atomic location of the fracture. These common fractures occur at the head of the femur, neck and greater trochanter. Over my twenty years of health care experience I have witness patients going through some difficult physical therapy. Many patients do not bounce back and many give up because the rehab is so

In 1986, researchers found a gene which causes muscular dystrophy when defective. The disease arises when the gene fails to produce a protein called dystrophin. Most of the disease is inherited from the X chromosome from mothers to their sons, even though they themselves are not affected by the disease. Currently, there is no complete or effective therapy for muscular dystrophy, however there are certain treatments that provide relieve in their symptoms and improve quality of life. Surgery would not be ideal for this condition due to the extensive time the patient is spent being immobile (Emery, 2002). Although it may slightly increase their life expectancy and lung functioning, it does not increase the strength of the skeletal muscles (Beytia, Vry and Kirschner, 2012). The recommended treatment option is the use of corticosteroid drugs, which improves muscle functioning and slows down the rate of muscle deterioration. Moreover, physical therapy is also available to help strengthen muscles and maintain their range of movement (Martell 2012). Corticosteroids have various side effects ranging from mild to serious. The side effects of using corticosteroid drugs include causing sodium and fluid to be retained in the body, thus leading to weight gain or swelling of the legs (edema), loss of potassium, muscle weakness, puffiness of the face, increase of facial hair growth, acne, slow wound healing,

1. I diagnosed my patient Tammy with slipped capital femoral epiphysis (SCFE), a disorder when the ball at the upper end of the femur slips off in a backward direction. Tammy is a 10 years old girl, who is very active and is 5’0” and weigh 135 pounds which indicate she is obese. SCFE is common in adolescent girls going a growth spurt between ages 10 through 13 but the most important risk factor is obesity. Tammy’s personal lifestyle had an affect on her diagnosing her with SCFE knowing that she is obese, physically active, and she is an adolescent. On Tammy’s physical examinations her X- rays of her knee and hip were both negative for fractures, no bruising, swelling, or discoloration, her left lower limb was laterally rotation. Tammy’s symptoms were pain in left knee, slight limp and she have a difficult time moving

The reasoning behind this is the faster JIA gets under control, the less likely the child will have permanent long term effects.(1) The initial treatment involves NSAIDs (Nonsteroidal anti-inflammatory drugs) such as ibuprofen and naproxen to try reducing inflammation within the joints, with stronger over the counter medications able to be prescribed if required. (1)

Cam impingement is more common in young men, presenting at an average age of 32 years. Athletes that are involved in high-impact sports, such as soccer, basketball and ice hockey, during adolescence have a higher prevalence of cam-type FAI as compared to non-athletes [13, 14]. This may be due to increased stresses on the femoral head while the physis of the femoral head is still developing. Another theory is that it may be due to new bone formation at the anterosuperior head-neck junction. Paediatric hip diseases such as Slipped Capital Femoral Epiphysis [7] and Calve-Perthes [8] have been associated with an increased incidence of FAI. Other factors which may influence impingement includes an abnormal femoral head neck offset, pistol grip deformity,

Hip dysplasia is a condition at the hip which babies are born with or developed in the early stages in their life. This is due to the ball and socket joint not forming properly in babies. This condition is also known as DDH (development dysplasia of the hip). DDH can have an effect on both of the hips but it mainly affects the left hip and it is to be said that its common in first born children and girls. The thigh bone and pelvis are attached together as the hip joint attaches them with each other. The top of the femur which is shaped like a ball fits inside hip socket which is shaped like a cup. The socket of the hip is not that deep therefore the femoral head is not secured and held tight in its place, causing the hip joint to be loose.