Open anterior hip dislocation in a young adult with exposed femoral head and no neurovascular damage.

N Muzaffar,N Bashir,A Hafeez,S Singh

doi:10.5704/moj.1203.012

Abstract

Anterior hip dislocation is common in younger adults and is the result of severe, high energy trauma such as high-velocity motor vehicle accidents or falls from great heights. A similar mechanism of injury would cause a femur neck fracture in older patients. Of these, open anterior hip dislocations are extremely rare and are usually associated with other soft tissue and bony injuries. We report a case of an open anterior hip dislocation with normal neurovascular status in a third world setting. trauma, open anterior, dislocation, hip, femoral head, osteonecrosis.

Highlights

Anterior hip dislocation is common in younger adults and is the result of severe, high energy trauma such as high-velocity motor vehicle accidents or falls from great heights
The majority of hip dislocations are posterior 1 the incidence of anterior dislocations comprises 2% to 11% of all dislocations
Anterior hip dislocations can be associated with femoral neurovascular injury, femoral head fractures, and acetabular fractures

Summary

Introduction

Anterior hip dislocation is common in younger adults and is the result of severe, high energy trauma such as high-velocity motor vehicle accidents or falls from great heights. He was brought to the emergency department of this hospital and was preliminarily assessed as having an open anterior dislocation of the hip with the femoral head clearly visible in the inguinal region (Figure 1a and 1b). Hip radiographs showed an anterior-superior dislocation with no other associated bony injury (Figure 2a).

Results

Conclusion