Epidemiology of traumatic hip dislocation in patients treated in Ceará, Brazil

Abstract

OBJECTIVE: To describe the epidemiological profile of patients with traumatic hip dislocation treated in our Institute from November/2012 to July/2013. METHODS: A descriptive cross-sectional study based on interviews and involving 43 patients who suffered traumatic hip dislocation was conducted. RESULTS: The mean age of patients was 34.4 years old and 90.7% were male. Regarding the mechanism of injury, 95% involved traffic accidents. The posterior dislocation of the hip was the most common injury (93%). Associated lesions were observed in 74.4% of patients, hip fractures being the most frequent. The time span between accident and dislocation reduction was less than 6 hours in 37.2% of patients, between 6 and 12 hours in 32.5% and over 12 hours in 30.3%, ranging from 1 hour to 15 days. A fraction of 90.7% of patients was submitted to closed reduction. CONCLUSION: Traumatic hip dislocation affected mostly young adults, victims of traffic accidents. The posterior dislocation of the hip was the most frequent injury and closed reduction was performed in 90.7% of patients. The time span between accident and dislocation reduction was less than 12 hours in most patients. Level of Evidence III, Study of Nonconsecutive Patients.

An Update on Traumatic Joint Dislocations in Nigeria

“…They are mainly workers involved in travels, transporting goods and services across the country. The vulnerability of the young adult male is consistent with findings [12] [18]- [20] from other parts of the world.…”

“…Following an injury, a motorcycle rider is easily and readily mobilised, hence they quickly bring them to the hospital. Reports [20] from Brazil indicated that 37% of patients presented and had their dislocations reduced in less than 6 hrs, while 32.5% between 6 hours to 12 hours.…”

Neglected traumatic anterior dislocation of the hip. Open reduction using the Bernese trochanter flip approach — a case report

“…This is remarkably consistent with more modern research from the twentieth century giving estimates of anterior dislocations (usually combining both pubic and obturator dislocations, and therefore less precise than Sir Astley Cooper) as between 7% and 13% (Thompson and Epstein 1951, Stewart and Milford 1954, Brav 1962, Lima et al. 2014). However, most present-day surgeons would probably agree that Astley Cooper’s posterior and ischiatic dislocations are variations of the same and can both be described as posterior.…”

Muscle ruptures in posterior hip dislocation—a case report

“…Posterior hip dislocation is more common than anterior or central luxation injury and represents 75 to 93% of the patients with dislocations of the respective joint. 1 , 2 …”

“…Apart from that, 14.5 to 30% of the respective patients ultimately suffer from lesions to the ischiadic nerve, which is located closer to the hip joint in flexion. 2 , 5 – 7 …”