Recurrent Anterior Dislocation of the Hip

Schweitzer, Daniel; Breyer, Juan Manuel; Córdova, Marcelo; Fica, Gerardo

doi:10.2106/00004623-200403000-00018

Cited by 11 publications

(9 citation statements)

References 7 publications

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“…Instability resulting from violation of the hip joint capsule, whether a result of the surgical approach or pre‐existing pathology, continues to be a significant concern following total hip arthroplasty (THA) and hip arthroscopy, in certain congenital hyperlaxity conditions and occasionally as a result of prior trauma (Bellabarba et al, ; Lavigne et al, ; McGann and Welch, ; Philippon, ; Stein et al, ; Fujishiro et al, ; Schweitzer et al, ; Guanche and Sikka, ; Torry et al, ; Benali and Katthagen, ; Jones et al, ; Matsuda, ; Ranawat et al, ; Blakey et al, ; Cuellar et al, ; Van Warmerdam et al, ). Recently, there has been greater emphasis on restoration of the integrity and function of the capsule, especially as it relates to recurrent dislocation and soft tissue reconstruction.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to instability associated with operative procedures about the hip joint, traumatic, and atraumatic hip instability are potential sources of disability in athletes and those with congenital hyperlaxity conditions (Bellabarba et al, ; Philippon, ; Stein et al, ; Schweitzer et al, ; Guanche and Sikka, ; Torry et al, ; Ranawat et al, ; Blakey et al, ). Similarly, if normal capsular healing fails to occur following traumatic hip dislocation resulting laxity may develop, thus predisposing the individual to hip instability (Graham and Lapp, ).…”

Section: Introductionmentioning

confidence: 99%

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A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction

et al. 2013

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Quantitative descriptions of the hip joint capsular ligament insertional footprints have been reported. Using a three-dimensional digitizing system, and computer modeling, the area, and dimensions of the three main hip capsular ligaments and their insertional footprints were quantified in eight cadaveric hips. The iliofemoral ligament (ILFL) attaches proximally to the anterolateral supra-acetabular region (mean area = 4.2 cm(2)). The mean areas of the ILFL lateral and medial arm insertional footprints are 4.8 and 3.1 cm(2), respectively. The pubofemoral ligament (proximal footprint mean area = 1.4 cm(2)) blends with the medial ILFL anteriorly and the proximal ischiofemoral ligament (ISFL) distally without a distal bony insertion. The proximal and distal ISFL footprint mean areas are 6.4 and 1.2 cm(2), respectively. The hip joint capsular ligaments have consistent anatomic and insertional patterns. Quantification of the ligaments and their attachment sites may aid in improving anatomic repairs and reconstructions of the hip joint capsule using open and/or arthroscopic techniques.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction

et al. 2013

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“…This procedure offers measurement of acetabular anterior coverage in normal hips in a standing position. However, setting posture for this procedure during radiography is complicated and the VCA angle does not indicate true anterior coverage in developmental dysplasia of hip joint [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Atraumatic Anterior Dislocation of the Hip Joint

Ohtsuru

Morita

Murata

et al. 2015

Case Reports in Orthopedics

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Dislocation of the hip joint in adults is usually caused by high-energy trauma such as road traffic accidents or falls from heights. Posterior dislocation is observed in most cases. However, atraumatic anterior dislocation of the hip joint is extremely rare. We present a case of atraumatic anterior dislocation of the hip joint that was induced by an activity of daily living. The possible causes of this dislocation were anterior capsule insufficiency due to developmental dysplasia of the hip, posterior pelvic tilt following thoracolumbar kyphosis due to vertebral fracture, and acetabular anterior coverage changes by postural factor. Acetabular anterior coverage changes in the sagittal plane were measured using a tomosynthesis imaging system. This system was useful for elucidation of the dislocation mechanism in the present case.

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“…So, hip dislocation and subluxation are rare. Anterior hip dislocation and subluxation are associated with neurogenic and congenital diseases [ 2 , 3 ]. However, a case without such coexisting disease has not previously been reported.…”

Section: Discussionmentioning

confidence: 99%

Anterior Hip Subluxation due to Lumbar Degenerative Kyphosis and Posterior Pelvic Tilt

Tsuchie

Yamada

Tazawa

et al. 2014

Case Reports in Orthopedics

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Nontraumatic anterior subluxation and dislocation of the hip joint are extremely rare. A 58-year-old woman presented to our outpatient clinic with left hip pain with a duration of 15 years. There was no history of trauma or other diseases. Her hip pain usually occurred only on walking and not at rest. Physical examinations demonstrated no tenderness in the hip joint. The range of motion of both hip joints was almost normal. Laxity of other joints was not observed. The bone mineral density of the lumbar spine and proximal femur confirmed a diagnosis of osteoporosis. A plain radiograph showed osteoarthritic changes of the hip joints, severe posterior pelvic tilt, and superior displacement of both femoral heads, especially in a standing position. Three-dimensional computed tomography (3DCT) revealed anterior subluxation of both femoral heads. Seven years after the initial visit, both hip joints showed progression to severe osteoarthritis. Although the exact cause remains unclear, lumbar kyphosis, posterior pelvic tilt, and a decrease in acetabular coverage may have influenced the current case. We should be aware of these factors when we examine patients with hip osteoarthritis.

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Recurrent Anterior Dislocation of the Hip

Cited by 11 publications

References 7 publications

A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction

A quantitative assessment of the insertional footprints of the hip joint capsular ligaments and their spanning fibers for reconstruction

Atraumatic Anterior Dislocation of the Hip Joint

Anterior Hip Subluxation due to Lumbar Degenerative Kyphosis and Posterior Pelvic Tilt

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