Date post: | 24-Jul-2015 |
Category: |
Health & Medicine |
Upload: | rvhem |
View: | 37 times |
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objectives
review common & need-to-know ED hip conditions discuss the use of
ultrasound for hip pain evaluation
Ms. B.
26F restrained passenger in high speed MVC
two of her friends died on sceneright leg pain +++
presentation
high-energy insult (young)low-energy mechanism (artificial hip)
leg shortening, flexion, internal rotation & adduction
xray
acetabular fracturefemur in internal rotation & adduction
affected femoral head appears smallerfemoral head lateral & superior to acetabulum
complications
avascular necrosis acetabular & femur fractures
sciatic nerve injury (peroneal most common)
presentation
localized unilateral hip painmost common in women
often related to increased activity/trauma
ultrasound
well circumscribed anechoic collection (>2mm)lateral aspect of the greater trochanter
deep to gluteus maximus
presentation
hematogenous spreadstaph aureus most common pathogen
knee, hip & shoulder most common joints
objectives
review common & need-to-know ED hip conditions
discuss the use of ultrasound for hip pain evaluation