Traumatic Anterior Dislocation Of Hip Research Articles

Pulmonary embolism following reduction of traumatic anterior hip dislocation- A case report and review of literature

Anterior hip dislocations are uncommon, but are associated with the risk of occlusion of major vessels of the limb. We report a case of traumatic anterior hip dislocation who had an on-table cardiac arrest following reduction of hip. It was due to pulmonary embolism, and delayed presentation increased the risk for the same. It was an unanticipated event for us and we wish for all the providers to be aware of this occurrence.

Anterior Hip Dislocation: Characterization of a Rare Injury and Predictors of Functional Outcome

BackgroundAnterior native hip dislocation remains poorly studied due to the rarity of the injury. The aim of this study was to describe injury characteristics of anterior hip dislocation, detail its initial treatment, and determine the intermediate term outcomes including the rate of conversion to total hip arthroplasty (THA). MethodsA cross-sectional study was performed at a single urban academic Level 1 trauma center for patients who sustained traumatic anterior hip dislocations from 2010-2017. Baseline demographic, injury, and treatment data were recorded. Patients were contacted to inquire about subsequent surgery and complete functional outcome questionnaires. Available post-operative radiographs were also reviewed. ResultsThirty-two anterior hip dislocations met inclusion criteria and were included in the study. 69% of dislocations were obturator dislocations and 31% iliac dislocations. Only 22% were simple dislocations with the remainder having an associated femoral head fracture and/or acetabular fracture. Iliac dislocations were more likely to be associated with acetabular fractures and require surgical treatment while obturator dislocations were more likely to be simple dislocations or have femoral head fractures. Excluding two patients treated with acute THA at the time of injury, follow-up information was available for 16 patients at a minimum of eighteen months from the time of injury. Only one required subsequent conversion to THA. For the remaining fifteen patients, modified Harris hip scores (mHHS) averaged 82.6, PROMIS global physical health averaged 51.9, and PROMIS global mental health averaged 48.3 with mean follow-up of 4.2 years. mHHS was significantly higher for obturator dislocations and a negative association was seen with age. ConclusionsObturator dislocations occurred twice as frequently as iliac dislocations. Associated acetabular or femoral head fractures are common. Conversion to THA was low, occurring in only 1 of 16 patients not treated with acute arthroplasty. Obturator dislocations and age less than 45 years old at the time of injury were associated with better functional outcome at intermediate term follow-up.

Medium-term outcome and classification of traumatic anterior hip dislocations.

Traumatic anterior hip dislocations are subdivided to obturator (inferior) and pubic (superior) dislocations by Epstein's descriptive classification. This rare injury is thought to have favourable clinical outcomes. The incidence of associated femoral head and acetabular injuries has been low in past case series. We sought to revisit this injury and classification in the era of advanced imaging and contemporary surgical techniques. A retrospective study of 15 patients treated for anterior hip dislocation was performed. Medical records were reviewed for demographic and surgical data. Imaging studies were revisited to determine direction of dislocation and associated fractures. Patients were assessed for pain, hip function using the modified Harris Hip Score (mHHS), hip range of motion and radiographic changes. Mean follow-up time was 3 years. Anterior dislocation occurred in an obturator (inferior), pubic (superior) or central direction. 9 patients had concomitant femoral head impaction and 7 patients suffered from acetabular fractures. 8 patients with an anterior hip dislocation underwent surgical treatment. This therapy, along with early range of motion and weight bearing, produced favourable clinical outcomes with 9 patients reporting no pain and an average mHHS of 83.8. 6 patients had heterotopic ossification at latest follow-up. Traumatic anterior hip dislocation is commonly associated with femoral head impaction and acetabular injuries which should be addressed operatively when appropriate to produce favourable results. In this paper, we propose a revision to the commonly used descriptive classification system.

Anterior hip dislocation in young patient obturator (inferior) type: a rare case report

<p class="abstract">Obturator type traumatic anterior hip dislocation in adult is rare of all type of hip dislocation. Here we described a case with same description. A patient 30 years male residing at Hoovina Hadagali, Bellary district, Karnataka met road traffic accident of his car while he was sitting in front seat with thigh abducted. He was brought to emergency room where he was diagnosed as obturator type of anterior right hip dislocation and closed reduction was achieved within 2 hours. Patient was posted for closed reduction of right hip under general anaesthesia which achieved by Alli’s maneuver followed by traction and immobilisation with Thomas splint. 3 weeks of immobilisation followed by progressive mobilisation and loading patient was able to walk without any complaint with normal range of movements after 6 months.</p>

Traumatic anterior hip dislocation in 4-year-old child with polytrauma and flail chest

Traumatic hip dislocation in children is relatively rare, accounting for about 5% of all hip dislocations. Most of the hip dislocations seen in children are of the posterior type, but the much rarer anterior and anterior–inferior (obturator) types have also been described. We present the case of a 4-year-old boy with an anterior of hip dislocation following trauma. He was treated with closed reduction and immobilization in hip spica followed by skin traction. The aim of this study is to report the case of an anterior hip dislocation in a 4-year-old child, where it apparently appears normal in X-ray. The diagnosis of dislocation is suspected due to the abnormal attitude of the limb which is confirmed using computed tomography scan. The diagnosis of dislocation in children is difficult, and such trauma can lead to serious complications if missed.

Traumatic Anterior Dislocation of Hip in a Child- Case Report

Traumatic hip dislocation in children is relatively rare accounting for about 5% of all hip dislocations. Most of the hip dislocations seen in children are of the posterior type but the much rarer anterior and anterior-inferior (obturator) types have also been described. We present the case of an eight years old girl with an obturator type of hip dislocation following trivial trauma. She was treated with closed reduction and immobilisation in skin traction for three weeks. She was followed up closely for one year and did not develop any complications during that period.

Anterior Dislocation of Hip with Ipsilateral Fracture Neck of Femur - A Rare Presentation

A 55 year old male patient presented to us with compliant of injury over left hip as a result of slip over ground. After trauma he was unable to stand and walk. On physical examination his left lower limb was externally rotated, flexed, adducted & shortened. There was a huge swelling present over groin region of left side. Skiagram and CT scan revealed anterior dislocation of hip with ipsilateral fracture neck of femur left side. Traumatic anterior dislocation of hip with ipsilateral fracture neck of femur is rare. This rare presentation was subsequently managed by arthroplasty and is reported.

Bedside Ultrasound for Hip Dislocations

BackgroundBedside ultrasound in the emergency department is being used with increasing frequency and for an increasing scope of conditions. ObjectivesDemonstrate the use of bedside ultrasound as an adjunct for diagnosis of hip dislocation. Case ReportA traumatic anterior hip dislocation was diagnosed with bedside ultrasound after an initial normal plain radiograph. ConclusionAlthough the current standard of care for diagnosis of hip dislocation is plain radiographs, this case demonstrates that bedside ultrasound may be used as a diagnostic adjunct in this time-sensitive and potentially catastrophic diagnosis.

Traumatic Anterior Hip Dislocation in an Adolescent with an Associated Femoral Head “Hill-Sachs” Type Lesion

Traumatic hip dislocations are uncommon injuries in the paediatric population, requiring urgent reduction to reduce the risk of avascular necrosis. Amongst other associated injuries, fractures of the femoral head, neck or acetabulum can occur. We present the case of a 14 year old boy who sustained a traumatic anterior obturator type hip dislocation with an associated supero-lateral “Hill-Sachs” type indentation osteochondral fracture of the femoral head. He was managed conservatively and by six weeks, was mobilising fully weight bearing unaided. At 17 month follow-up, he remained fully mobile with no complaints. Radiologically, the defect in the femoral head persisted with no evidence of collapse from avascular necrosis. This type of osteochondral fracture associated with hip dislocation has been reported in the adult population, with varying reports of an increased risk of post-traumatic arthritis. The presented case highlights the important role of computed tomography (CT) in assessing these injuries. Furthermore, it brings to light a rare type of injury of the paediatric femoral head that warrants further long-term follow-up studies to determine the associated risk of avascular necrosis, hip instability and post-traumatic arthritis.

Bilateral traumatic anterior hip dislocation - a case report

We report a 33-year-old trader with bilateral traumatic anterior hip dislocation following a road traffic accident. Both hip dislocations were reduced under general anesthesia followed by immobilization of the hips with skin traction. He discharged himself against medical advice one week after injury.