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Will Collett Peer Support 2014.  Avascular necrosis  Superior Gluteal Nerve Injury  Inferior Gluteal Nerve Injury  Thomas Test  Injection Site.

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Presentation on theme: "Will Collett Peer Support 2014.  Avascular necrosis  Superior Gluteal Nerve Injury  Inferior Gluteal Nerve Injury  Thomas Test  Injection Site."— Presentation transcript:

1 Will Collett Peer Support 2014

2  Avascular necrosis  Superior Gluteal Nerve Injury  Inferior Gluteal Nerve Injury  Thomas Test  Injection Site

3  What makes the femoral head susceptible to AVN?  Medial and lateral circumflex arteries and ligamentum teres artery  Intracapsular Vs Extracapsular  How can we injure the hip causing AVN?  # NOF  Car crash  What are the signs and symptoms of AVN?  # NOF – shortened and externally rotated  Pain, reduced movement, Weight bearing Diagnosis?

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5 Intracapsular Extracapsular

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7  Innervates?  Lost ability to?  Abduct the hip  Trendelenburg gait or sign? Superior gluteal nerve (L4-L5) Gluteus Medius & Minimus (L4-L5)

8 SIGN

9 GAIT

10  Innervates?  Lost ability to? ◦ Prevent trunk tipping forwards during gait ◦ Extend the hip  Gait? ◦ lurching backward when the weaker limb is on the floor during walking (heel strike) ◦ Buttock wasting ◦ Hamstring Compensation Gluteus Maximus (L5-S1)

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12  Method 1  - Vertical line through highest point of iliac crest  - Horizontal line midway between ischial tuberosity and highest point of iliac crest Method 2 - Vertical line through highest point of crest - Line from PSIS to the greater trochanter


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