An Atypical Presentation of Hip Dislocation In A Pregnant Patient: A Case Report and Review of the Literature

Abstract

Managing an injured patient who is pregnant can be difficult in the management and investigation of the case especially when the patient presents atypically. We encountered a 25-year-old female patient who sustained a posterior dislocation of the right hip and was pregnant at 12 weeks gestation following a road traffic accident. The patient presented to OPD with an atypical attitude of limb i.e., both hip and knee in flexion without any internal rotation and adduction of the limb following which MRI was done which showed right hip posterior dislocation. Through an interdepartmental, skilful team approach the patient, after taking the obstetrician’s opinion and the patient under short GA, Closed reduction by Rochester method (longitudinal traction and rotation control) was done for the right hip joint without any complication. As pregnant females possess more risk and complication and more challenges are expected in management, Orthopaedic surgeons are well equipped to treat such patients to reduce patient morbidity and mortality resulting in better outcomes. Keywords Posterior dislocation of hip, Pregnant female, Atypical presentation, Closed reduction