Luxation obturatrice de la hanche: un traumatisme rare en pratique sportive

Elouakili, I.; Ouchrif, Younès; Ouakrim, Redouane; Lamrani, Omar; Kharmaz, Mohamed; Ismael, Farid; Lahlou, Abdou; Bardouni, Ahmed El; Mahfoud, Mustapha; Berrada, Mohamed Saleh; Yaacoubi, M. El

doi:10.11604/pamj.2014.18.138.4540

Cited by 6 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Obturator dislocation accounts for 6 to 10% of dislocations reported in the literature [1]. The mechanism of occurrence of this entity is a movement in flexion, abduction and forced external rotation [13] with the cam effect of the greater trochanter on the ílion in maximum abduction.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

2023

IJCMCR

View full text Add to dashboard Cite

Obturator hip dislocation is a rare variety of regular hip dislocations. Shoulder erecta dislocation is also a rare condition. the association of these two entities is exceptional. We report an exceptional case of a 19-year-old patient who presented with concomitant dislocations; erecta of the left shoulder and obturator of the hip on the same side following an accident on the public highway, motorcyclist hit by car with point of impact at the level of the internal face of his right knee then he fell on his shoulder left in abduction. The patient presented to the emergency room with an attitude of irreducible abduction of the left shoulder and flexion, abduction, external rotation of the left lower limb. The vascular and nervous examination was normal. The X-ray confirmed the diagnosis of a dislocation erecta of the left shoulder associated with an obturator dislocation of the hip on the same side. Emergency reduction under general anesthesia and curarization within 4 hours was performed in the operating room for both dislocations. a restraint of the left upper limb by orthosis elbow to the body, for three weeks and A discharge of 45 days was prescribed. An early rehabilitation of the left shoulder and the left lower limb without support was started after 03 weeks of immobilization followed deferred support from the 45th post-traumatic day. The Follow-up after 16 months was noted without stiffness or pain in the shoulder and hip, and without radiological signs of osteonecrosis of the femoral head.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Traumatic anterior dislocation of the hip without fracture of the acetabulum or femoral head is rare [1]. They are often secondary to road traffic accidents, and erect dislocation is a rare form of shoulder dislocation with an estimated incidence of 0.5% of all such dislocations [2].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2023

IJCMCR

View full text Add to dashboard Cite

show abstract

“…In the majority of cases, it is accompanied by a fracture of the acetabulum or the femoral head. Often, this injury is the result of high-energy trauma, typically associated with polytrauma from road accidents as reported by several authors [3][4][5][6]. Much more rarely, it is the consequence of a sports-related accident, often a violent one (such as motor racing, motorcycling, skydiving, skiing).…”

Section: Discussionmentioning

confidence: 99%

Obturator Dislocation of the Hip in An Athlete: A Rare Injury

Rida

2023

austinjorthopaderheumatol

View full text Add to dashboard Cite

show abstract

“…Hip obturator dislocation is one of the most uncommon types of trauma surgery [2], with only a few cases reported. This rarity can be explained by the very particular anatomy of the hip joint.…”

Section: Discussionmentioning

confidence: 99%

Pure Obturator Dislocation of the Hip, a Rare Variety of Regular Dislocations, and Long-Term Clinical Outcomes

Bouziane¹,

Amine²,

Aharram³

et al. 2022

View full text Add to dashboard Cite

Introduction: Traumatic knee dislocation is considered an orthopedic emergency. Knee dislocations are relatively infrequent injuries. This injury frequently occurs from high-energy impact trauma. Neurovascular injuries can result in debilitating consequences if the diagnosis and treatment are delayed. Associated complications include degenerative arthritis, permanent neurovascular injury, and amputation. The poorest prognosis is seen in patients with knee dislocation longer than 6-8 hours before reduction. History: The 25-year-old male patient presented with a history of a road traffic accident to the emergency department. The patient presented with swelling, pain, and deformity of the left knee and leg. Examination: On examination, the patient had tense swelling and tenderness of the left knee joint and leg. Visible deformity of the left knee joint is seen. The posterior tibial artery and dorsalispedis artery were not palpable. Active ankle and toe movements were absent. Investigations: Plain radiograph was taken at the emergency department of the left knee and leg. X-rays showed anterior dislocation of the knee joint. Treatment: After valid written informed consent, the dislocated left knee joint was reduced under sedation in the operation theatre and immobilized in the above knee plaster slab. Reduction of the knee joint was done within 4 hours of injury. Then the distal pulses were re-assessed. The posterior tibial and dorsalispedis artery was absent. Hence, MR Angiography of the left lower limb was done. It showed popliteal artery transection. So, the artery was explored and end-to-end vascular anastomosis was done. A knee-spanning external fixator was applied to the left lower limb. Fasciotomy was done for the tense leg compartments. After a week, the fasciotomy wounds were infected for which extensive debridement of the wounds was done and antibiotic beads were placed. Knee was mobilized with a gradual range of motion exercises and non-weight bearing mobilization with a foot drop splint. Gradually full weight-bearing ambulation was allowed. Conclusion: Knee dislocation is rare, albeit a serious and potentially limb-threatening condition. The prognosis of knee dislocations is variable and is heavily dependent on the time interval between trauma and initiation of management. Immediate, timely, and proper management can salvage the limb, and amputation is not the only solution. Keywords: Dislocation, Posterior tibial artery, Fasciotomy

show abstract

Luxation obturatrice de la hanche: un traumatisme rare en pratique sportive

Cited by 6 publications

References 10 publications

Untitled

Untitled

Obturator Dislocation of the Hip in An Athlete: A Rare Injury

Pure Obturator Dislocation of the Hip, a Rare Variety of Regular Dislocations, and Long-Term Clinical Outcomes

Contact Info

Product

Resources

About