Traumatic Dislocation of Hip Joint With Fracture of Shaft of Femur on the Same Side

Ehtisham, Sarah

doi:10.1097/00005373-197603000-00004

Cited by 14 publications

(7 citation statements)

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“…Anterior hip dislocations, representing approximately 11% of all hip dislocations, usually result when the hip is forced into abduction and external rotation. In this regard, fractures of the femoral head and shaft may occur in such circumstances [ 2 , 5 ]. Suggestive findings on examination include shortening, internal rotation, and adduction of the lower limb which is associated with posterior hip dislocation.…”

Section: Discussionmentioning

confidence: 99%

Asymmetric bilateral traumatic hip dislocation: A case report

Alshammari

Alanazi

Almogbil

et al. 2018

Annals of Medicine and Surgery

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IntroductionTraumatic hip dislocation is a severe injury with the potential for significant morbidity and mortality. Bilateral hip dislocation is rare representing 1.25% of all hip dislocations.Presentation of the caseA 19-year-old male had a high-speed motor vehicle accident. After stabilizing the patient, it was noticed that the position of the right lower limb was in adduction and internal rotation while the left was in external rotation and abduction. Pelvis x-ray showed right superior posterior and left anterior inferior hip dislocations. Closed reduction was performed within 3 hours from the trauma for both sides. The post reduction CT scan showed adequate reduction of both hips with no associated fractures. During his three-year follow-up, he never had any complaints and the clinical examination and radiographs did not reveal any abnormalities.DiscussionEarly reduction of hip dislocations minimizes the risk of osteonecrosis of the femoral head. The current recommendations state that a hip dislocation must be reduced within 6 hours.ConclusionThis is a rare case of bilateral asymmetric hip dislocations with no concomitant fractures. It is important to reduce hip dislocation within 6 hours from the time of injury to prevent osteonecrosis of the femoral head.

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Section: Discussionmentioning

confidence: 99%

Asymmetric bilateral traumatic hip dislocation: A case report

Alshammari

Alanazi

Almogbil

et al. 2018

Annals of Medicine and Surgery

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“…Third, shaft fractures often obscure clinical signs of the dislocated hip. A sign that should be searched and might be for diagnosis in an anterior hip dislocation is the palpation of the femoral head in the midinguinal region as well as a less prominent greater trochanter [6]. Generally, these combined injuries occur in young and middle age adults and are caused by high-energy trauma due to sport, pedestrian, or traffic accidents [1].…”

Section: Discussionmentioning

confidence: 99%

“…Reduction, even in acutely diagnosed cases, is extremely difficult because the femur, that is, the lever, is not intact and therefore it does not provide for control on the proximal femur [10, 11]. Therefore, closed manipulation may be attempted but it is effective in less than 50% of the cases [3, 6, 12, 13]. Lyddon and Hartman [14] described a method of closed reduction using a device on the trochanter to facilitate manipulation.…”

Section: Discussionmentioning

confidence: 99%

Low-Energy Traumatic Obturator Hip Dislocation with Ipsilateral Femoral Shaft Fracture in a Patient with Omolateral Knee Arthroplasty

Gazzotti

Patrizio

Dall'Aglio

et al. 2016

Case Reports in Orthopedics

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Ipsilateral obturator hip dislocation and femoral shaft fracture are rare. We report such a case in an older woman after a low-energy injury. She had a knee prostheses in the same limb. The patient was treated by open manipulative reduction of the luxation without opening joint and open reduction and internal fixation of the femur with angular stability plate and screws. We could not find a similar case in the literature. An early diagnosis of the dislocation is crucial in order to obtain good results. Great awareness and radiologic examination are fundamental to achieve precocious diagnosis of both these rare combined injuries, as treatment in these cases is considered an emergency. The first step was an attempt to reduce the dislocation by closed means but it failed. Then we performed a short approach at the trochanteric region and used Lambotte forceps to manoeuvre the proximal femur without opening the joint achieving reduction. Thereafter the femoral shaft fracture underwent open reduction and internal fixation with an angular stable plate. After a 2-year follow-up the outcome was very good.

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“…It has been suggested that for posterior dislocation to occur, 2 different external forces need to be added consecutively-a force parallel to the shaft of the femur that causes posterior dislocation, and a force orthogonal to the shaft of the femur that causes transverse fracture. 20,21 Cadaveric experiments by Helal and Skevis 22 showed that a single resultant force cannot cause both posterior dislocation of the hip and fracture of the femoral shaft of femur, supporting this hypothesis. A major external force that may cause anterior dislocation is abducent force, which may affect the femoral shaft orthogonally.…”

Section: Na Not Availablementioning

confidence: 92%

Traumatic Anterior Dislocation of the Hip Associated with Ipsilateral Femoral Shaft Fracture in a Child: A Case Report

Yamamoto

Masaoka

et al. 2004

J Orthop Surg (Hong Kong)

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Traumatic anterior dislocation of the hip joint in children is rare, and only one case with ipsilateral femoral fracture has been reported in Japan. We report a case of such dislocation and a review of the literature. The patient was a 31-month-old girl who was injured in a car accident while asleep on a tilted front passenger seat. Radiographic examination showed dislocation of the right obturator foramen and transverse fracture of the ipsilateral femoral shaft. The dislocation of the right hip was easily reduced without anaesthesia during radiography. We applied Bryant traction after reduction for 4 weeks, followed by cast application for 3 weeks. Walking with support and full weightbearing were permitted 14 weeks and 16 weeks after the injury, respectively. Radiography at 4.5 years after the injury showed a mildly enlarged right femoral head and femur overgrowth of approximately 8 mm. Magnetic resonance imaging showed no evidence of suspected avascular necrosis of the femoral head. The patient has no subjective or objective symptoms, and is able to engage in all usual activities. The detailed mechanism of the injury is unknown. We assume that the lower leg was dislocated through abduction during flexion, or abducent, external flexion, considering that the child was sleeping at the time of the accident. Since she was hurled to the back seat, it was assumed that strong external force was vertically added to the femur, which caused the abducent force.

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Traumatic Dislocation of Hip Joint With Fracture of Shaft of Femur on the Same Side

Cited by 14 publications

References 0 publications

Asymmetric bilateral traumatic hip dislocation: A case report

Asymmetric bilateral traumatic hip dislocation: A case report

Low-Energy Traumatic Obturator Hip Dislocation with Ipsilateral Femoral Shaft Fracture in a Patient with Omolateral Knee Arthroplasty

Traumatic Anterior Dislocation of the Hip Associated with Ipsilateral Femoral Shaft Fracture in a Child: A Case Report

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