Soft tissue surgery, osteotomy, osteoplasty and arthrodesis of the hip

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QUESTION 1 OF 4

A 52 year old male attends clinic with a fused hip. Fusion was performed 30 years previously. following a RTA with an acetabular fracture and secondary development of osteonecrosis.He complains of severe low back pain and ipsilateral knee pain.
Radiographs show a cobra head plate in place with some concern about his abductor muscle mass
The most appropriate assessment would be:

QUESTION ID: 1105

1. A. CT scan to access abductor status
2. B. Electromyography
3. C. Inspection and palpation abductor muscle mass
4. D. MRI scan to access abductor status
5. E. U/S scan
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QUESTION 2 OF 4

A 24-year-old male presents to the orthopaedic clinic with a 2-year history of progressively worsening osteoarthritic hip pain. Pain limits his walking distance to around 1/2 mile with almost continuous pain and causes sleep disturbance at night. He is struggling to climb ladders at work as a scaffolder and can no longer play football.

The most appropriate course of action would be to

QUESTION ID: 1172

1. A. Advise he is too young to undergo THA and he should continue with conservative management of his hip arthritis
2. B. List for an uncemented ceramic on HCLPE THA
3. C. List for Hip fusion
4. D. List for steroid local anaesthetic injection hip so he can restart playing football
5. E. Refer on to hip surgeon who performs MoM resurfacing
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QUESTION 3 OF 4

X A 70-year-old lady presented to the orthopaedic department with a two-year history of pain that is keeping her up at night and affecting her daily living. Around 30 years ago, she had a hip fusion because of an infected THA.
Where is the most likely site of her pain?

QUESTION ID: 2212

1. Contralateral hip
2. Fused hip
3. Ipsilateral ankle
4. Ipsilateral knee
5. Lower back
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QUESTION 4 OF 4

X.Around 30 years ago, a patient had a left hip arthrodesis. She now presents with significant lower back pain, and further surgery is planned.
Which investigation will be most helpful in improving the outcome of the planned surgery?

QUESTION ID: 2213

1. CT scan pelvis
2. EMG of abductors
3. Mechanical axis view radiographs
4. MRI lumbar spine
5. MRI of hip
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