Traumatic hip dislocation

Obakponovwe, O.; Morell, D.; Ahmad, M. Z.; Nunn, Timothy; Giannoudis, Peter V.

doi:10.1016/j.mporth.2011.04.006

Cited by 13 publications

(15 citation statements)

References 37 publications

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“…Prognosis factors for this complication are the delay of reduction, the severity of the trauma and the importance of locoregional and general associated injuries. 5,6,8 In our study, there was not an elevated number of avascular necrosis of femoral head. Radiographic findings for this complication usually appear within 2 years but can present as late as 5 years post-injury.…”

Section: Therapeutic Aspectscontrasting

confidence: 41%

“…5,8 Although being an emergency, only 8 patients (34.8%) had performed a reduction before the 12th hour, in which 2 (8.7%) before the sixth hour. In the series of Onyemaechi and Eyichukwu, 73.5% of dislocations were reduced before the 12th hour.…”

Section: Therapeutic Aspectsmentioning

confidence: 99%

“…Radiographic findings for this complication usually appear within 2 years but can present as late as 5 years post-injury. 8 The risk of osteoarthritis post-avascular necrosis of femoral head testifies of the value of regular radiographic monitoring for the early detection and an attempt to conservative treatment in young patients. 8 …”

Section: Therapeutic Aspectsmentioning

confidence: 99%

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Traumatic hip dislocation in Cotonou

Chigblo

Tidjani

Lawson

et al. 2016

Journal of Orthopaedics

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Section: Therapeutic Aspectscontrasting

confidence: 41%

Section: Therapeutic Aspectsmentioning

confidence: 99%

Section: Therapeutic Aspectsmentioning

confidence: 99%

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Traumatic hip dislocation in Cotonou

Chigblo

Tidjani

Lawson

et al. 2016

Journal of Orthopaedics

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“…2 Seventy percent of these injuries are associated with fractures of the acetabulum, and 25% are associated with knee injuries. 2 Simultaneous ipsilateral hip and knee dislocations with popliteal artery involvement are rare with only few cases reported in the literature. 3 This is the second case report of gluteus medius avulsion associated with posterior hip fracture dislocation.…”

Section: Discussionmentioning

confidence: 99%

Gluteus medius avulsion in posterior hip fracture dislocation–A rare injury

Perumal

Shankar

Yalavarthi

et al. 2019

Journal of Orthopaedics, Trauma and Rehabilitation

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A 44-year-old male presented to us with right hip pain and limb shortening following road traffic accident. He was diagnosed to have blunt abdominal injury, right hip posterior fracture dislocation, right knee dislocation with vascular injury. Though vascular repair was attempted, he ended up with an above knee amputation. Hip joint was unstable even after closed reduction and intraoperatively, gluteus medius avulsion was noted. This is the second reported case of abductor tendon avulsion in posterior hip dislocations.

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“…The coxo-femoral joint is a deep spheroid type joint that needs a strong femoral neck and a high energy trauma to dislocate [1] [4] [11]. Previously African series found around five cases of THD per year mainly men [8] [9].…”

Section: Discussionmentioning

confidence: 99%

Profile of Traumatic Hip Dislocations in a West African Teaching Hospital

Dakouré¹,

Diallo²,

Guigma³

et al. 2017

OJO

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Purpose: Traumatic hip dislocations (THD) are rarely reported from developing countries. The aim of the current study is to describe the trauma, the presentation, the treatment and the outcome patterns of THD received in the trauma unit of an emergency department (ED) in west Africa. Patients and Methods: A retrospective ongoing study from 2008 to 2014 was performed at the ED. All patients over 15 years with an unreduced THD and an anteroposterior pelvic radiograph were studied. Data were collected and analyzed by means of a statistical software. Results: A total of 50 THD were included in the study. We found an average of seven dislocations per year with a mean age of 36 years mainly males (n = 37). Road traffic accidents by motorcycle (n = 20) were the common circumstance of trauma. Forty-five extra-pelvic THD were diagnosed. According to the Bigelow classification, THD were classified posterior (n = 33), anterior (n = 10) and irregular (n = 2). Associated acetabular fractures (n = 36), ipsilateral lower limb fractures (n = 10) and sciatic nerve palsy (n = 2) were also found. The THD cases were treated by closed reduction (n = 34), open reduction (n = 6) and Girdlestone procedure (n = 1). The outcome after 16 months showed 21 good and excellent functional results and one death. The short term complications were post traumatic arthritis (n = 10) and osteonecrosis (n = 2). Conclusion: The THD occurrences are important in our emergency department. They are characterized by the place of motorcycle accidents and by the delayed reduction due to hospital's locations and numbers and beliefs. A reduction before four hours, an earlier rehabilitation, a non-use of traction and a short hospitalization time below 14 days gave better results.

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Traumatic hip dislocation

Cited by 13 publications

References 37 publications

Traumatic hip dislocation in Cotonou

Traumatic hip dislocation in Cotonou

Gluteus medius avulsion in posterior hip fracture dislocation–A rare injury

Profile of Traumatic Hip Dislocations in a West African Teaching Hospital

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