Hip Osteoarthritis: Difference between revisions

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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox">
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'''Original Editors '''
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Original Editor - [[User:Eric Robertson|Eric Robertson]].


Lead Editors - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
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== Search Strategy  ==


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== Definition/Description  ==
 
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== Clinically Relevant Anatomy  ==
 
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== Epidemiology /Etiology  ==
 
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== Characteristics/Clinical Presentation  ==
 
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== Differential Diagnosis  ==
 
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== Outcome Measures ==
 
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== Clinically Relevant Anatomy<br>  ==
== Clinically Relevant Anatomy<br>  ==
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References will automatically be added here, see [[Adding References|adding references tutorial]].  
References will automatically be added here, see [[Adding References|adding references tutorial]].  


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Revision as of 18:44, 9 November 2010

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Search Strategy[edit | edit source]

add text here related to databases searched, keywords, and search timeline

Definition/Description[edit | edit source]

add text here

Clinically Relevant Anatomy[edit | edit source]

add text here

Epidemiology /Etiology[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Diagnostic Procedures[edit | edit source]

add text here related to medical diagnostic procedures

Outcome Measures[edit | edit source]

add links to outcome measures here (also see Outcome Measures Database)

Examination[edit | edit source]

add text here related to physical examination and assessment

Medical Management
[edit | edit source]

add text here

Physical Therapy Management
[edit | edit source]

add text here

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

add text here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.


Clinically Relevant Anatomy
[edit | edit source]

Hip.jpg

The hip joint is a synovial ball and socket joint, with the convex femoral head articulating with the concave acetabulum.  Stability of the joint is achieved through a combination of muscle action and several ligaments forming a loose, but strong joint capsule, the iliofemoral ligament, the ischialfemoral ligament and the pubofemoral ligament.  Another ligament, the ligamentum teres, does not provide stability to the hip but offers a portion of blood supply to the femoral head in some individuals. 

The femoral head and acetablum are covered by smooth hyaline cartilage, and the acetabulum contains a labrum, which functions to facilitate movement and support the forces passed through the joint. 

The hip, despite the requirement to support the weight of the body, has the second largest exursion of motion of any joint in the body. 

External Link:  [Hip Anatomy Video]


Mechanism of Injury / Pathological Process
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add text here relating to the mechanism of injury and/or pathology of the condition

Clinical Presentation[edit | edit source]

add text here relating to the clinical presentation of the condition

Diagnostic Procedures[edit | edit source]

Altman et al have established guidelines by which clinical diagnosis of hip osteoarthritis can be made.  The guidelines, established in 1991, present a 3 pronged approach to diagnosis of hip osteoarthritis including clinical, radiological, and laboratory findings.  According to these guidlelines, a patient was considered to have osteoarthritis if they presented with:

  1. Hip Pain and...
  2. Hip Internal Rotation < 15 degrees and Hip Flexion less than or equal to 115 degrees

or, hip pain in combination with:

  1. Hip Rotation < 15 degrees or...
  2. Pain with Hip Internal Rotation or...
  3. Hip stiffness in the AM less than 60 minutes or...
  4. Age > 50 years

More recently, Sutlive et al have proposed a clinical prediction rule to identify individuals with hip osteoarthritis presenting with unilateral hip pain.


Management
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Special Considerations[edit | edit source]

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Key Evidence[edit | edit source]

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Resources
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Case Studies[edit | edit source]

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Related Pages[edit | edit source]

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References[edit | edit source]

References will automatically be added here, see adding references tutorial.