Posterior Fracture-dislocation of the Hip

Rosenthal, Ronald E.; Coker, Wesley L.

doi:10.1097/00005373-197908000-00005

Cited by 34 publications

(22 citation statements)

References 0 publications

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“…Slight hip flexion in these circumstances is associated with a fracture of the posterior rim of the acetabulum. 8,19,20 …”

Section: Mechanism Of Injurymentioning

confidence: 99%

“…4,8,9 Therefore, the attending clinician has to bear this in mind during the initial assessment and management of these patients. Advanced Trauma Life Support principles; a primary survey and initial imaging are employed to identify and treat life-threatening injuries first.…”

Section: Associated Injuriesmentioning

confidence: 99%

“…The incidence of associated injuries in patients with THD has been quoted to range from 70% to 95%, depending on the cited literature. 4,8,9 Sciatic nerve damage is a serious complication of THD, especially in central dislocations, where it can be anticipated in 10e20% of cases. 21,22 Hak et al 23 reviewed THDs presenting to a level I trauma centre and found a 95% rate of associated injuries.…”

Section: Associated Injuriesmentioning

confidence: 99%

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Traumatic hip dislocation

Obakponovwe¹,

Morell²,

Ahmad³

et al. 2011

Orthopaedics and Trauma

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“…Slight hip flexion in these circumstances is associated with a fracture of the posterior rim of the acetabulum. 8,19,20 …”

Section: Mechanism Of Injurymentioning

confidence: 99%

Section: Associated Injuriesmentioning

confidence: 99%

Section: Associated Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Traumatic hip dislocation

Obakponovwe¹,

Morell²,

Ahmad³

et al. 2011

Orthopaedics and Trauma

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“…Shear forces against the femoral head as it exits the contained acetabulum are thought to cause the femoral head fracture during hip dislocation [7]. Due to the inherent stability of the hip joint, dislocation of the hip with associated femoral head fracture requires high amounts of energy, most often due to motor vehicle collisions, fall from a height, motor vehicle-pedestrian accidents, and sports injuries [8,9]. A common position of the lower extremity during dislocation of the hip is akin to the position during a dashboard injury to the knee, in which the hip is positioned in flexion, adduction, and internal rotation [10].…”

Section: Clinical Evaluationmentioning

confidence: 99%

Femoral head fractures

Ross

Gardner

2012

Curr Rev Musculoskelet Med

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Femoral head fractures may present in various patterns with or without associated fractures around the hip. As a result, the treating orthopaedic surgeon must understand not only the fracture pattern, but also patientrelated fractures and the relevant operative exposures and reconstructive options to achieve the best functional outcome while minimizing complications. Treatment options range from non-operative treatment to fracture fragment excision or fracture fixation using various surgical exposures and implants. This article reviews the current literature on the treatment options for femoral head fractures and presents modern operative techniques that have improved exposure of the fracture while minimizing associated risks such as avascular necrosis, heterotopic ossification, and neurovascular compromise. A sound understanding of the anatomy and these newer techniques can enable the surgeon to provide improved expectations and clinical outcomes.

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“…30 In presence of pelvic injuries, mortality rate increases. In the study by Hak and Goulet 12 hip dislocations were associated with acetabular or pelvic fracture in 62 of 66 patients (94%).…”

Section: Pelvic Injuriesmentioning

confidence: 99%