Luxatio erecta of the hip

Kolar, M. K.; Joseph, Stephen R.; McLaren, Anne

doi:10.1302/0301-620x.93b2.24890

Cited by 8 publications

(11 citation statements)

References 3 publications

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“…21 There are also other cases, demonstrated in Table 1, in which patients achieved pain-free recovery after nonoperative treatment. 6,13,20,21,30,40,47 Therefore, our recommendation is to prescribe nonoperative treatment with 6 weeks of protected weightbearing, followed by a gradual escalation of activity as tolerated for cases in which concentric reduction is obtained and no fracture with an absolute indication for fixation, such as articular displacement >2 mm or intra-articular fracture fragments, is present.…”

Section: Discussionmentioning

confidence: 99%

Hip Dislocation and Subluxation in Athletes: A Systematic Review

et al. 2021

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Background: Hip dislocation is a rare occurrence during sports but carries serious implications for athletes. Purpose: To systematically review treatment strategies and outcomes for hip dislocation in athletes, with the ultimate goal of providing sports medicine physicians with the information necessary to appropriately treat and counsel patients sustaining this injury. Study Design: Systematic review; Level of evidence, 4. Methods: PubMed, MEDLINE, and Embase were searched for studies relating to hip instability and athletics from January 1, 1989 to October 1, 2019. Abstracts and articles were evaluated on the basis of predefined inclusion and exclusion criteria. Inclusion criteria were the following: (1) data from ≥1 patients, (2) native hip dislocation or subluxation occurring during sports, (3) patients aged at least 10 years, and (4) written in English. Exclusion criteria were (1) patients younger than 10 years; (2) nonnative or postoperative hip dislocation or subluxation; (3) a native hip injury without dislocation or subluxation; (4) patients with dislocation or subluxation secondary to neuromuscular, developmental, or syndromic causes; (5) dislocation or subluxation not occurring during sports; (6) patients with physeal fractures; or (7) review articles or meta-analyses. Data were recorded on patient demographics, injury mechanism, treatment strategies, and clinical and radiographic outcomes. Where possible, pooled analysis was performed. Studies were grouped based on reported outcomes. Meta-analysis was then performed on these pooled subsets. Results: A total of 602 articles were initially identified, and after screening by 2 reviewers, 27 articles reporting on 145 patients were included in the final review. There were 2 studies that identified morphological differences between patients with posterior dislocation and controls, including decreased acetabular anteversion ( P = .015 and .068, respectively), increased prevalence of a cam deformity ( P < .0035), higher alpha angles ( P≤ .0213), and decreased posterior acetabular coverage ( P < .001). No differences were identified for the lateral center edge angle or Tonnis angle. Protected postreduction weightbearing was most commonly prescribed for 2 to 6 weeks, with 65% of reporting authors recommending touchdown, toe-touch, or crutch-assisted weightbearing. Recurrence was reported in 3% of cases. Overall, 4 studies reported on findings at hip arthroscopic surgery, including a 100% incidence of labral tears (n = 27; 4 studies), 92% incidence of chondral injuries, 20% incidence of capsular tears, and 84% incidence of ligamentum teres tears (n = 25; 2 studies). At final follow-up, 86% of patients reported no pain (n = 14; 12 studies), 87% reported a successful return to play (n = 39; 10 studies), and 11% had radiographic evidence of osteonecrosis (n = 38; 10 studies). Conclusion: Various treatment strategies have been described in the literature, and multiple methods have yielded promising clinical and radiographic outcomes in patients with native hip dislocation sustained during sporting activity. Data support nonoperative treatment with protected weightbearing for hips with concentric reduction and without significant fractures and an operative intervention to obtain concentric reduction if unachievable by closed means alone. Imaging for osteonecrosis is recommended, with evidence suggesting 4- to 6-week magnetic resonance imaging and follow-up at 3 months for those with suspicious findings in the femoral head.

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Section: Discussionmentioning

confidence: 99%

Hip Dislocation and Subluxation in Athletes: A Systematic Review

et al. 2021

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“…A total of 14 articles reporting on 13 men and 4 women aged 5 to 56 (mean, 23) years with 16 unilateral and one bilateral inferior dislocation of the hip were reviewed (Table). [1][2][3][4][5][6][7][8][9][10][11][12][13][14] One patient had a concurrent displaced fracture of the ipsilateral proximal femur. 10 Six patients were children, [1][2][3][4]6,13 of whom 2 were injured when another child fell onto their back as they fell.…”

Section: Case Reportmentioning

confidence: 99%

“…6 The mechanism of injury included road traffic accidents (n=5), falling while running (n=4), sports related (n=4), falling from a height (n=2), falling from a bicycle (n=1), and falling from a tree branch onto a leg (n=1). Most patients presented with an ischial-type dislocation, with extreme hip flexion, prominence of the greater trochanter, and the thigh touching the anterior abdominal wall, [1][2][3][4][5][6][7][8]11 whereas some presented with varying degrees of flexion, abduction, and external rotation, indicating an associated fracture, a chronic injury, or an obturator-type dislocation. 9,10,12 All dislocations were treated with closed reduction under sedation or general anaesthesia, followed by varying regimens of traction and restricted weightbearing.…”

Section: Case Reportmentioning

confidence: 99%

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Inferior Dislocation of the Hip: A Case Report and Literature Review

Jain

Haughton

Grogan

2015

J Orthop Surg (Hong Kong)

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We report on a 17-year-old man who underwent open reduction and internal fixation for an inferior dislocation of the right hip and displaced fractures of the right femoral head and neck, and antegrade intramedullary nailing for a displaced fracture of the left femoral shaft. In addition, 13 men and 4 women aged 5 to 56 (mean, 23) years with 16 unilateral and one bilateral inferior dislocation of the hip were reviewed from the literature.

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“…It is quite rare and accounts for 2% -5% of all dislocations [1] [2]. Traumatic posterior bilateral hip dislocations and infracotyloid dislocation are very rare injuries and less frequently associated with fractures of the hip joint, and occur in poly-traumatic contexts [1]- [6]. Posterior dislocation of the hip is an orthopaedic emergency.…”

Section: Introductionmentioning

confidence: 99%

Unusual Posterior Traumatic Hip Dislocations at Yopougon/Abidjan Teaching Hospital

Traoré¹,

Krah²,

Soumaro³

et al. 2016

OJO

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Traumatic dislocation of the hip is quite rare and accounts for 2%-5% of all dislocations. We report on a case of a bilateral posterior hip dislocation associated with symmetric acetabular fracture and two cases of infracotyloid dislocation. The report included 2 men and one woman. The mean age of patients was 33 years. All dislocations followed a road traffic accident. Non-operative closed reduction was achieved within 19 hours of admission. The average follow-up time was 15 months. The hips were stable, mobile, and painless; and there was no radiographic sign of avascular necrosis of the femoral head.

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Luxatio erecta of the hip

Abstract: We present the case of a young male patient with inferior dislocation of the hip and postulate a possible mechanism for this extremely rare injury.

Cited by 8 publications

References 3 publications

Hip Dislocation and Subluxation in Athletes: A Systematic Review

Hip Dislocation and Subluxation in Athletes: A Systematic Review

Inferior Dislocation of the Hip: A Case Report and Literature Review

Unusual Posterior Traumatic Hip Dislocations at Yopougon/Abidjan Teaching Hospital

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