Best Practice Case Studies-Hip

Pdf Summary

The provided document outlines medical procedures and classification systems relevant to the treatment and diagnosis of hip osteoarthritis. <br /><br />Study Question #1 discusses the process of performing an ultrasound-guided hip injection to treat osteoarthritis. During this procedure, the patient lies supine, and a transducer is positioned in the oblique sagittal plane, parallel to the femoral neck. It is crucial to identify the lateral femoral circumflex artery using Doppler imaging to avoid it when inserting the needle, as injury to this artery may result in a hematoma. The femoral and gluteal arteries are not in the vicinity of the procedure, while the geniculate artery is located by the knee, further emphasizing the lateral femoral circumflex artery as the one at risk during this procedure.<br /><br />In Study Question #2, the Kellgren-Lawrence classification system is discussed, which evaluates the severity of hip osteoarthritis based on radiographic findings. This system does not consider the presence of loose bodies as part of its criteria. The system ranks osteoarthritis severity from grade 0 to 4, based on factors such as the presence of osteophytes, joint space narrowing, pseudocysts, and altered shape of bone ends. The absence of the "presence of loose bodies" indicates that it is not a criterion used in this classification system.<br /><br />Both questions highlight the importance of anatomical knowledge and specific radiographic criteria in managing hip osteoarthritis, with references supporting the information provided.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 25

Topic Hip

Keywords

hip osteoarthritis

ultrasound-guided injection

lateral femoral circumflex artery

Kellgren-Lawrence classification

radiographic findings

joint space narrowing

osteophytes

anatomical knowledge

Doppler imaging

hematoma risk

3rd Edition

3rd Edition, CASE 25

Hip