SCFE
Indications for THA
Osteoarthritis
- abnormal morphology
- loss of head neck offset
- bony impingement on acetabulum
AVN
Osteoarthritis
- abnormal morphology
- loss of head neck offset
- bony impingement on acetabulum
AVN
First generation (late 70s early 80s)
Results
Male & Females > 60 years
- X-ray evidence of OA
Symptomatic
- 25% females
- 15% males
Base thumb
PIPJ / Bouchard's nodes
DIPJ / Heberden's nodes
Relatively rare
Average age 50
Men 4:1 Women
Usually dominant arm
Primary
- associated with strenuous manual labour
Secondary
- trauma
- OCD
- synovial chondromatosis
- valgus extension overload / MCL insufficiency
Body Fracture
- fracture line exits inferior surface behind lateral process
- into posterior facet
- intra-articular body fracture
Neck Fracture
- fracture line exits inferior surface anterior to lateral process
- in front of sinus tarsi
- extra-articular neck fracture
1. Shear
2. Crush
3. Posterior Process