Updated: 1/26/2021

[Blocked from Release] Hip-Spine Syndrome

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Evidence
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Topic
Summary
  • Science bullet - summary of what it is
  • Diagnosis bullet - summary of how it is diagnosed
  • Treatment bullet - summary of how it is treated
Science
  • Epidemiology
    • incidence
      • US incidence
    • demographics
      • male : female ratio
      • age bracket
    • location
      • where in the body/bone
    • risk factors
      • smoking etc.
  • Pathophysiology
    • mechanism of injury (trauma)
      • this is the mechanism of injury (valgus force on knee)
    • pathophysiology
      • this is the physiology (hormone feedback loop)
    • pathobiology
      • this is the molecular or cell biology of disease
    • pathoantomy
      • this is the anatomic cascade of disease
  • Genetics
    • inheritance pattern
      • autosomal dominant
    • mutations
      • chromosome
      • gene
      • protein encoded for
  • Associated conditions
    • orthopaedic conditions
      • condition a
      • condition b
    • medical conditions & comorbidities
      • condition a 
  • Prognosis
    • natural history of disease
    • prognostic variable
      • favorable
      • negative
    • survival with treatment
Anatomy
  • Osteology
    • describe anatomic bone
  • Muscles
    • muscles a
  • Ligament
    • ligament a
  • Blood Supply
    • x
  • Biomechanics
    • x
Classification
 
 Classification A
Type A  • Characteristic A
 • Characteristic A
 
Type B  • Characteristic B
 • Characteristic B

Type C  • Characteristic C
Type D  • Characteristic D
 
 
Presentation
  • History (optional)
    • this is a specific event the patient cites. "Heard a pop"
  • Symptoms
    • common symptoms
      • location
      • duration
      • severity
      • aggrevating / aleiving factors
  • Physical exam
    • inspection
      • varus or valgus deformity
      • ecchymosis & swelling
      • diffuse tenderness
    • motion
      • document flexion-extension and pronation-supination
        • crepitus should be noted
      • varus/valgus instability stress test
        • challenging but important for an accurate diagnosis
    • neurovascular
    • provocative tests
Imaging
  • Radiographs
    • recommended views
      • xrays that should alwasy be obtained on evaluation
    • optional views
      • secondary views that might give additional information
    • findings
      • disc space narrowing
    • measuerment
      • measurement A (Cobb angle)
      • measurement A (pelvic incidence)
    • criteria dictating treatment
      • > 3mm step of dictates operative treatment
    • sensitivity and specificity
  • CT
    • indications
      • when do you order
    • views
      • best seen on sagital
    • findings
      • finding a
        • detailed description
      • finding b
    • sensitivity and specificity
  • MRI
    • indications
      • when do you order
    • views
      • best seen on T2 axial
    • findings
      • finding a
        • detailed description of finding
    • sensitivity and specificity
  • Bone scan
    • indications
      • when do you order
    • sensitivity and specificity
Studies
  • Labs
    • serum
    • urine
    • surface (nasal swab, sputum)
  • Invasive studies
    • Histology
      • gross anatomy
      • histology
        • low power
        • high power
      • immunostaining
Differential
  • Differential A
    • key findings that differentiate topic from differential A
      • found with topic
        • key finding A
        • key finding B
        • key finding C
      • found with differential A
        • key finding A
        • key finding B
        • key finding C
  • Differential B
    • key findings that differentiate topic from differential B
      • found with topic
        • key finding A
        • key finding B
        • key finding C
      • found with differential
        • key finding A
        • key finding B
        • key finding C
Treatment  (for surgical residency sites, e.g., orthobullets, ENT bullets)
  • Nonoperative
    • nonoperative treatment A
      • indications
        • indication a
        • indication b
      • modalities (think of this as the options)
      • outcomes
  • Operative
    • operative treatment A
      • indications
        • indication a
        • indication b
      • techniques
        • variation of treatment A (just list the option to chose from)
        • indication b
      • outcomes
    • operative treatment B
      • indications
        • indication a
        • indication b
      • techniques
        • variation of treatment A (just list the option to chose from)
      • outcomes
Techniques
  • Nonoperative treatment A
    • technique
      • description
  • Operative treatment A
    • **include link to technique if one is present in "Techniques" section of Orthobullets** 
      • **do not incude a step-by-step guide here, that will be covered in the Technique section. Instead, the points here will be mainly centered around tested information** 
    • approach
      • tested concepts only (techniques steps go in outline)
    • technique
      • tested concepts only (techniques steps go in outline)
    • complications (ONLY if specific to this treatment)
      • unique to this technique and tested concepts only (techniques steps go in outline)
  • Operative treatment B
    • **include link to technique if one is present in "Techniques" section of Orthobullets** 
      • **do not incude a step-by-step guide here, that will be covered in the Technique section. Instead, the points here will be mainly centered around tested information** 
    • approach 
      • tested concepts only (techniques steps go in outline)
    • technique
      • tested concepts only (techniques steps go in outline)
    • complications (ONLY if specific to this treatment)
      • unique to this technique and tested concepts only (techniques steps go in outline)
Complications
  • Compliation A
    • incidence (only if pertinent)
    • risk factors
    • treatment
      • tested treatment in bold blue
        • indications
          • indication A
  • Compliation B
    • incidence
    • risk factors
    • treatment
      • tested treatment in bold blue
        • indications
          • indication A

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