etiology

Nerve Injury

Epidemiology

 

Primary THR 1%

Revision THR 3%

DDH  5%

 

Sciatic nerve 90% of nerve palsy

 

Other

- femoral nerve

- CPN

- ulna / radial nerve from positioning

 

Aetiology

 

Direct 

 

Laceration

- exposure / sciatic and superior gluteal nerve

- drill reamer / obturator nerve

- spike of cement / obturator nerve

Aetiology & Classification

Definition

 

Idiopathic condition of the immature femoral capital epiphysis involving varying degrees of osteonecrosis

 

AKA

- Legg-Calve-Perthes disease

- coxa plana

 

Described in separate publications in 1912 by

- Legg (Boston)

- Calve (France)

- Perthes (Germany)

 

Epidemiology

 

M: F    4:1

 

1 in 740 males

 

Nora lesion

 

It was described in 1983 by Dr. Nora, and is sometimes called Nora's disease or Nora's lesion

 

Definition

 

Bizarre parosteal osteochondromatous proliferation 

 

Epidemiology

 

Rare lesion 

- occurs most commonly in the hands and feet

 

Adults in their 20's and 30's

 

Males = Females

 

Site

 

Acute

Definition

 

Infection of bone 2° blood-borne bacteria

 

Epidemiology

 

Most common children

- peak 10 years

 

True haematogenous OM rare in adults

- usually involves spine

 

M: F 2:1

 

Site

 

Most common femur & tibia