Methods of Carrying External Loads and Hip Abductor Muscles
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Questions and Answers

What is the recommended method of carrying an object for an individual with unilateral hip pain or degeneration?

  • With the contralateral arm
  • With both arms simultaneously
  • With the dominant arm
  • With the ipsilateral arm (correct)

Which action should a person with painful, unstable, or surgically replaced hips be cautious about?

  • Carrying large hand-held loads ipsilateral to the affected hip
  • Performing high-impact exercises
  • Running long distances
  • Carrying large hand-held loads contralateral to the affected hip (correct)

In total hip arthroplasty, what is replaced with biologically inert materials?

  • Hip abductor muscles
  • Acetabulum and femoral head (correct)
  • Leg bones
  • Knee cap

Which type of fixation may secure a prosthetic hip in total hip arthroplasty?

<p>Biologic fixation provided by bone growth into implanted components (B)</p> Signup and view all the answers

What is the consequence of carrying an object with the contralateral arm for an individual with hip pain or degeneration?

<p>Greater joint reaction force (B)</p> Signup and view all the answers

Why is it advised to carry an object with the ipsilateral arm for someone with unilateral hip pain or degeneration?

<p>To decrease compression force on the hip joint (D)</p> Signup and view all the answers

What may contribute to the loss of fixation in total hip arthroplasty?

<p>Torsional loads between the prosthetic implant and bony interface (A)</p> Signup and view all the answers

Which factor can result in osteolysis and weakening of the surrounding bone in total hip arthroplasty?

<p>Worn implanted component debris (D)</p> Signup and view all the answers

What is the surgical operation that involves intentionally altering the angle of inclination of the femoral head to the acetabulum by cutting a wedge of bone from the proximal femur?

<p>Coxa vara (or valga) osteotomy (D)</p> Signup and view all the answers

What is a characteristic of coxa valga?

<p>The angle is greater than the normal adult angle (C)</p> Signup and view all the answers

What is one of the goals of a coxa vara (or valga) osteotomy?

<p>To improve weight-bearing surface congruency of the hip (C)</p> Signup and view all the answers

What is a potential complication that may arise from total hip arthroplasty?

<p>Dislocation of prosthetic hip (C)</p> Signup and view all the answers

What is the effect of excessive anteversion on the hip joint?

<p>Lead to marked joint incongruence (D)</p> Signup and view all the answers

How does the femur respond to excessive anteversion to restore joint congruence?

<p>Medially rotate (B)</p> Signup and view all the answers

What gait abnormality is typically seen in a patient with excessive anteversion?

<p>Toe-in gait (C)</p> Signup and view all the answers

What effect does femoral retroversion have on the labrum?

<p>Result in crushing of the labrum (D)</p> Signup and view all the answers

Who is more likely to experience femoral neck fractures?

<p>Elderly adults with good bone density (D)</p> Signup and view all the answers

At what age do more than 90 percent of femoral neck fractures occur?

<p>Over 50 years old (D)</p> Signup and view all the answers

What is a potentially positive effect of coxa valga?

<p>Improved force-generating ability of hip abductor muscles (D)</p> Signup and view all the answers

Which of the following is a potentially negative effect of coxa valga?

<p>Decreased moment arm available to hip abductor force (A)</p> Signup and view all the answers

How does coxa valga affect the risk of dislocation in extreme cases?

<p>Increases the risk of dislocation (A)</p> Signup and view all the answers

What is a characteristic of coxa vara's angle of inclination compared to the normal adult angle?

<p>Less than 125⸰ (A)</p> Signup and view all the answers

How does coxa vara affect the position of the femoral head?

<p>Deeper into the acetabulum (B)</p> Signup and view all the answers

What is a potential positive effect of coxa vara?

<p>Improved stability of hip joint (A)</p> Signup and view all the answers

How does coxa vara potentially benefit people with hip abductor weakness?

<p>By increasing the leverage of the abductor muscles (B)</p> Signup and view all the answers

What potential negative effect of coxa vara increases the likelihood of a 'gluteus medius limp?'

<p>Coxa vara may decrease the functional length of the hip abductor muscles. (D)</p> Signup and view all the answers

How does excessive femoral anteversion affect the angle of torsion?

<p>It increases the angle of torsion (A)</p> Signup and view all the answers

What is a potential consequence of marked coxa vara in children?

<p>Slipped capital femoral epiphysis (C)</p> Signup and view all the answers

How does a varus osteotomy potentially improve joint stability?

<p>By aligning the femoral head more directly into the acetabulum (B)</p> Signup and view all the answers

What is one potential benefit of reducing muscular-based joint forces in an arthritic or unstable prosthetic hip?

<p>Decreased excessive wear during walking (C)</p> Signup and view all the answers

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