A Bilateral Traumatic Hip Obturator Dislocation

Karaarslan, Ahmet; Acar, Nihat; Karci, Tolga; Sesli, Erhan

doi:10.1155/2016/3145343

Cited by 9 publications

(7 citation statements)

References 6 publications

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“…A simultaneous traumatic anterior hip dislocation of the obturator type is an extremely rare injury. The greater trochanter impinges on the acetabular rim which acts as a lever and pushes the femoral head out anteriorly [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Traumatic Anterior Hip Dislocation – A Case Report

Paul¹,

Ahuja²,

Pragadeeshwaran³

et al. 2022

JOCR

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Introduction: Traumatic anterior hip dislocation is less common than posterior dislocation and bilateral anterior hip dislocation is a very rare presentation. Early diagnosis and treatment are of paramount importance to prevent complications. Here, we report a case of traumatic bilateral anterior hip dislocation following a high-velocity motor vehicle accident. Case Report: A 26-year-old man was brought to the emergency department following high-energy trauma due to a motor vehicular accident. He was in considerable pain with both hips in flexion, abduction, and external rotation. There was a restriction to the range of movement at bilateral hip joints. Clinical and radiological examination revealed bilateral anterior hip dislocation. Conclusion: Isolated anterior, obturator type of dislocation involving both hip joints with no other associated bony injury is quite unusual. The diagnosis and treatment have to be prompt. The chances of complications are high.

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Section: Discussionmentioning

confidence: 99%

Bilateral Traumatic Anterior Hip Dislocation – A Case Report

Paul¹,

Ahuja²,

Pragadeeshwaran³

et al. 2022

JOCR

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“…Abdulfattah Abdullah et al[ 14 ] reported that the patient should rest in bed for three weeks, and use an T-shaped pillow, then remove the traction and start physical therapy. Karaarslan et al[ 15 ] concluded that successful treatment, early full-load mobilization, and early passive motion plus active auxiliary motion were very useful.…”

Section: Discussionmentioning

confidence: 99%

Traumatic asymmetrical bilateral hip dislocation: A rare case report

Qin

Fang

2021

Jt Dis Relat Surg

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Traumatic bilateral hip dislocation is a rare phenomenon. Simultaneous traumatic asymmetrical bilateral hip dislocation is even more unusual. There is no report in the literature regarding the mechanism of injury in tramcar squeezing. A 49-year-old male who had a serious tramcar accident and developed asymmetric bilateral hip dislocations (left posterior, right anterior) combined with fracture of left acetabulum and multiple injuries was admitted. Right hip dislocation was treated with manual reduction. Left hip dislocation, fracture of acetabulum and bilateral pubis, and open wound of left thigh were treated with open reduction and internal fixation. In conclusion, hip dislocation should be performed with manual reduction within 6 h. If manual reduction fails, open reduction and even internal fixation can be performed to prevent complications, such as avascular necrosis of the femoral and heterotopic ossification.

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“…Therefore, anterior hip dislocations are more infrequent than posterior dislocations[ 20 ], accounting for up to 13% of all hip dislocations[ 21 ]. Anterior dislocation occurs as a result of a force acting on an abducted hip joint, which is then flexed and externally rotated to dislocate the femoral head forward[ 22 , 23 ]. The eventual position of the femoral head is determined by the degree of flexion at the time of injury.…”

Section: Discussionmentioning

confidence: 99%

“…According to Epstein’s classification, the anterior dislocation can be divided into pubic (type I) and obturator (type II) dislocation[ 2 ]. Obturator dislocation, which represents 2%-5% of all hip dislocations[ 7 ], is the most rare type of hip dislocation and is usually caused by falls[ 22 ]. As was the case in our report, obturator dislocation occurs when a force is transmitted from the knee to the femoral head while the limb is in a position of extreme flexion, abduction, and lateral rotation.…”

Section: Discussionmentioning

confidence: 99%

“…For old unreduced dislocation, traction is not only to reduce the risk of avascular necrosis, but also to ameliorate soft tissue contracture around the hip joint. The time of traction and non-weight-bearing following hip reduction is highly variable, ranging from 1 wk to 6 wk in traction and 2 wk to 12 wk in non-weight-bearing [ 4 , 5 , 7 , 8 , 11 , 14 , 18 , 20 , 22 , 26 ]. Although a few studies in recent years have shown that traction did not change the risk of avascular necrosis and prognosis[ 5 ], 6-wk skin traction and totally 8-wk non-weight-bearing were applied for our patient.…”

Section: Discussionmentioning

confidence: 99%

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Old unreduced obturator dislocation of the hip: A case report

Li¹,

Wang²,

Ni³

et al. 2021

WJCC

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BACKGROUND Obturator dislocation is a rare type of hip dislocation, accounting for about 2%-5% of all hip dislocations. The occurrence of old unreduced obturator dislocation is even more infrequent, with only 17 cases reported in nine studies, most of which were from the 1950s to 1980s in developing countries. CASE SUMMARY A 38-year-old woman from Hunan Province, China presented with stiffness of the left hip in abduction, flexion, and external rotation after falling from a 2-meter-tall tree onto her left knee 1.5 mo prior. Pelvic radiograph and computed tomography revealed obturator dislocation of the left hip accompanied by impaction fracture at the superolateral aspect of the left femoral head without associated acetabulum fracture. Open reduction was performed, resulting in restoration of the concentric alignment of the left hip. After surgery, 6-wk skin traction was applied and the patient was kept in bed for an additional 2 wk. At 3 mo after surgery, the patient reported experiencing some pain, which did not affect the function of the affected limb, and some movement restriction but no abduction deformity or claudication was present. An X-ray showed that the left hip was homocentric, and there was no sign of posttraumatic arthritis or avascular necrosis. CONCLUSION Open reduction may be an effective treatment strategy for the rare condition of old unreduced obturator dislocation with short neglect time.

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A Bilateral Traumatic Hip Obturator Dislocation

Cited by 9 publications

References 6 publications

Bilateral Traumatic Anterior Hip Dislocation – A Case Report

Bilateral Traumatic Anterior Hip Dislocation – A Case Report

Traumatic asymmetrical bilateral hip dislocation: A rare case report

Old unreduced obturator dislocation of the hip: A case report

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