Hip Osteoarthritis: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
<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"> | <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"> | ||
'''Original Editors ''' | '''Original Editors ''' - [[User:Eric Robertson|Eric Robertson]], [[User:Kim Presiaux|Kim Presiaux]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== Search Strategy == | == Search Strategy == | ||
| Line 14: | Line 15: | ||
== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
[[Image:Hip.jpg|frame|right|150x150px]]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. <br> | |||
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: [[http://sportsknee.com/hipanatomy.htm Hip Anatomy Video]] | |||
== Epidemiology /Etiology == | <== Epidemiology /Etiology == | ||
add text here <br> | add text here <br> | ||
| Line 30: | Line 37: | ||
== Diagnostic Procedures == | == Diagnostic Procedures == | ||
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:<br> | |||
#Hip Pain and... | |||
#Hip Internal Rotation < 15 degrees and Hip Flexion less than or equal to 115 degrees | |||
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) | or, hip pain in combination with: | ||
#Hip Rotation < 15 degrees or... | |||
#Pain with Hip Internal Rotation or... | |||
#Hip stiffness in the AM less than 60 minutes or... | |||
#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. | |||
add text here related to medical diagnostic procedures | |||
== Outcome Measures == | |||
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]]) | |||
== Examination == | == Examination == | ||
| Line 73: | Line 94: | ||
[[Category:Vrije_Universiteit_Brussel_Project|Template:VUB]] | [[Category:Vrije_Universiteit_Brussel_Project|Template:VUB]] | ||
Revision as of 18:48, 9 November 2010
Original Editors - Eric Robertson, Kim Presiaux
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]
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]
<== Epidemiology /Etiology ==
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]
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:
- Hip Pain and...
- Hip Internal Rotation < 15 degrees and Hip Flexion less than or equal to 115 degrees
or, hip pain in combination with:
- Hip Rotation < 15 degrees or...
- Pain with Hip Internal Rotation or...
- Hip stiffness in the AM less than 60 minutes or...
- 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.
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.
