Intricacies of Hip Injuries and Conditions

Credit

Handouts/Brochure

Speaker

Karen Myrick, DNP, APRN, FNP, ONP, FAAN Related seminars and products

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Karen M. Myrick, DNP, APRN, FNP, ONP, FAAN, is a thought leader in her specialty, with unparalleled expertise in orthopedics and sports medicine. She will work through the intricacies of hip injuries and conditions. Delving deep into each diagnosis, you will understand the contextual background, which sets the stage for an understanding of its pathophysiology. From there, you will navigate through the clinical symptoms and assessment components, dissecting the nuances of physical examination techniques and diagnostic tests crucial for accurate diagnosis. Moreover, you will have an opportunity to explore a diverse spectrum of potential differential diagnoses, while also shedding light on optimal treatment modalities and the critical identification of referral red flags. Join us as we unravel the complexities of hip injuries, accessing invaluable insights to enhance clinical practice and optimize patient care outcomes.

Speaker Disclosures:
Financial: Karen Myrick has employment relationships with Orthopedic Associates of Hartford, Avon Family Medical Group, Orthopedic Academy, Springer Publishing, University of Hartford, University of Wisconsin, Associates of Hartford, Pro-Heath Physicians Extended Hours and Express Care Centers, Gerson Lehrman Group, and University of Wisconsin Oshkosh. She receives royalties as a published author. Karen Myrick receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Karen Myrick is a member of the American Nurses Association, National Association of Orthopedic Nurses, National League of Nurses, and the Connecticut Nurses Association. She serves several committees, for a complete list contact PESI, Inc.

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Objectives

1. Determine the structures involved in hip function and their roles in movement and ADL performance, to better comprehend the underlying mechanisms of hip injuries and conditions. 
2. Recognize and differentiate between various hip injuries and conditions such as labral tears, femoroacetabular impingement (FAI), osteoarthritis, and stress fractures. 
3. Select and interpret appropriate diagnostic tools including imaging studies and physical examination techniques for assessing hip injuries and conditions.  
4. Implement proactive measures to prevent hip injuries and support ADL and sports performance, including biomechanical considerations, strength and conditioning exercises, and ergonomic adjustments.

Outline

Osteoarthritis  

• Clinical presentation 

• Diagnostic criteria (including imaging studies) 

• Pharmacological and non-pharmacological management options 

• Indications for referral to specialists for further management or intervention 

Greater Trochanteric Bursitis:  

• Common causes 

• Typical signs and symptoms 

• Physical examination findings 

• Diagnostic modalities 

• Treatment options including activity modification 

• Physical therapy 

• Medications 

• Potential complications 

• When to consider referral for corticosteroid injections or surgical intervention 

Slipped Capital Femoral Epiphysis 

• Clinical presentation (including distinguishing features from other hip conditions) 

• Physical examination findings (with emphasis on provocative maneuvers) 

• Diagnostic imaging modalities (including X-rays and MRI) 

• Acute management strategies 

• Long-term complications such as avascular necrosis 

Acetabular Labral Tears 

• Common mechanisms of injury 

• Clinical presentation (including provocative tests) 

• Diagnostic imaging modalities (such as MRI arthrography) 

• Conservative management options (including physical therapy) 

• Surgical interventions (such as arthroscopic repair) 

• Post-operative rehabilitation protocols 

Posterior Hip Dislocation 

• Mechanism of injury 

• Clinical presentation (including physical examination findings such as leg length discrepancy and restricted range of motion) 

• Diagnostic imaging (including X-rays and CT scans) 

• Emergent reduction techniques 

• Post-reduction management (including immobilization and rehabilitation) 

• Potential complications 

Fractures of the Femoral Shaft, Pelvis, and Proximal Femur 

• Classification 

• Mechanism of injury 

• Clinical presentation 

• Diagnostic imaging modalities 

• Acute management (including stabilization techniques) 

• Potential complications 

• Long-term rehabilitation considerations for each specific fracture type 

Hip Impingement 

• Pathophysiology (including cam and pincer morphology) 

• Clinical presentation (such as groin pain exacerbated by certain movements) 

• Diagnostic imaging (including X-rays and MRI) 

• Conservative management options (such as activity modification and physical therapy) 

• Indications for surgical intervention (such as hip arthroscopy) 

Osteonecrosis of the Hip 

• Clinical presentation (including symptoms related to vascular compromise) 

• Diagnostic imaging findings (such as characteristic changes on MRI) 

• Treatment options (including conservative management) 

• Surgical interventions (such as core decompression or hip replacement) 

•  Long-term monitoring considerations 

Snapping Hips and Strains 

• External and internal types 

• Clinical presentation 

• Physical examination findings 

• Diagnostic imaging modalities (including ultrasound and MRI) 

• Conservative management options (such as stretching and strengthening exercises) 

• Indications for surgical intervention in refractory cases. 

Stress Fractures of the Femoral Neck 

• Risk factors (such as repetitive loading activities) 

• Clinical presentation (including insidious onset of hip or groin pain) 

• Diagnostic imaging findings (such as MRI or bone scan) 

• Management options (including activity modification and protected weight-bearing)  

• Potential complications. 

Transient Osteoporosis of the Hip 

• Clinical presentation (including acute onset of hip pain) 

• Diagnostic imaging findings (such as characteristic MRI changes) 

• Treatment options (including rest, protected weight-bearing, and bisphosphonate therapy) prognosis 

There will be an emphasis on evidence-based practice, clinical reasoning, and practical application of concepts in the assessment, diagnosis, and management of these orthopedic conditions.