Transcript PowerPoint - Ohio University College of Osteopathic Medicine

Heritage College of
Osteopathic Medicine
Monday, 18 August 2014
Femoral Head Dislocation (Posterior Hip Dislocation)
fotosearch.com/comp/LIF/LIF134/E501003.jpg
2006 Moore & Dalley COA
limb shortened, flexed,
& medially rotated
www.fammed.washington.edu/
network/sfm/Orthorama/Hippose.jpg
Heritage College of
Osteopathic Medicine
Monday, 18 August 2014
Femoral Head Dislocation (Posterior Hip Dislocation)
flexion
extension
right-sided fracture/dislocation
spiraling hip
ligaments tighten &
“screw” femur into hip
on extension &
slacken on flexion
dislocation
iliofemoral
ligament
fracture
learningradiology.com/caseofweek/
caseoftheweekpix2006/cow195lg.jpg
anterior
view
2006 Moore & Dalley COA
Monday, 18 August 2014
Heritage College of
Osteopathic Medicine
Hip Fractures: Avascular Necrosis of Femoral Head
2006 Moore & Dalley COA
Monday, 18 August 2014
Heritage College of
Osteopathic Medicine
Hip Fractures: Avascular Necrosis of Femoral Head
coronal T1 MRI
subcapital
fracture:
greatest risk
for AVN
pertrochanteric
fracture:
less risk
for AVN
left subcapital fracture
www.mypacs.net/repos/mpv3_repo/viz/full/650/32511.jpg
www.gla.ac.uk/ibls/fab/tutorial/clinical/orhip.html
Heritage College of
Osteopathic Medicine
Monday, 18 August 2014
ACL-MCL-M Tear (“Unhappy Triad”)
ant. cruciate lig. (ACL)
med. collateral lig. (MCL)
superior
view
med. &/or lat.
meniscus (M)
Note: Lateral meniscus
is not usually included
in “unhappy triad” but
studies show it is
often injured in acute
ACL tears.
posterior
view
2006 Moore & Dalley COA
Monday, 18 August 2014
Heritage College of
Osteopathic Medicine
ACL-MCL-M Tear (“Unhappy Triad”)
Anterior Drawer Sign
2006 Moore & Dalley COA
www.fammed.washington.edu/network/sfm/Orthorama/ACLexam.mpg