Hip Osteoarthritis follow-up
Age: years old
Gender:
HISTORY:
Returns for a hip follow-up
Last visit was ago
Progress since last visit:
Updates on symptoms:
Physical activity changes: ,
Medication tried: , , , , , ,
Injections: , , ,
Physical therapy: ,
Supportive devices used:
X-ray:
EXAM:
Hip:
Inspection:
Palpation: on
Range of motion:
- Flexion:
- Extension:
- Abduction:
- Adduction:
- Int rotation:
- Ext rotation:
Strength: , except on
Neurovascular: distal pulses , cap refill sec, sensation
Gait: ,
ASSESSMENT:
,
DDx: hip osteoarthritis, trochanteric bursitis, iliopsoas bursitis, femoroacetabular impingement, labral tear, hip tendinitis, muscle strain, meralgia paresthetica, referred pain from the lumbar spine, lumbar radiculopathy, malignancy, avascular necrosis, hip fracture, pubic ramus fracture, sacroiliac joint disorder, septic arthritis, gout, stress fracture, snapping hip syndrome
PLAN:
Investigations:
- Hip X-ray
Treatments:
-
-
- Physical therapy
- Physiotherapy exercises
- Imaging-guided intra-articular hip injection
- Use of assistive devices
- Weight loss counseling
Further care:
- Referral to orthopedic surgeon for joint replacement evaluation
- Follow-up in months
- Return if pain worsens or new symptoms develop
HISTORY: EXAM: Hip: ASSESSMENT: PLAN: