OsteO

Non operative management of hip arthritis:

Activity modification:
Reduction of impact-loading exercises
Reduction of weight
Avoidance of stairs, inclines, squatting
Physical therapy

Nonnarcotic medications:
NSAIDs
Evidence does not support the use of glucosamine sulfate.

Joint injections:
Corticosteroid—antiinflammatory treatment
Hyaluronate
Backbone of proteoglycan chain of articular cartilage
No strong evidence to support use in the hip
Not approved by FDA for hip use in United States

Assist device (cane or crutch)
Opposite hand of affected hip

( Millers Review of Orthopaedics)

Risks of radiation and Orthopaedic surgeons

A 10-year-old boy with a spiral midshaft femur fracture from a sledding injury presents to the emergency department for evaluation. He is 48 inches tall and weighs 120 pounds. The BEST option for treatment would be:

a. Long-leg cast
b. Traction then long-leg cast
d. Retrograde flexible intramedullary nails
e. Rigid, straight antegrade intramedullary nail
f. Submuscular plating

Corner fractures are:

a. The most common facture type seen in child abuse
b. Fractures at the junction of the metaphysis and physis
c. Pathognomonic for child abuse
d. B and C
e. A, B, and C

What is the most common congenital hand difference?

a. Camptodactyly
b. Thumb hypoplasia
c. Postaxial polydactyly
d. Clinodactyly
e. Syndactyly