Arthroscopic Findings Following Traumatic Hip Dislocation in 14 Professional Athletes

Philippon, Marc J.; Kuppersmith, Dave A.; Wolff, Andrew B.; Briggs, Karen K.

doi:10.1016/j.arthro.2008.09.013

Cited by 217 publications

(167 citation statements)

References 18 publications

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“…Upadhyay et al [27] has identified reduced femoral antetorsion as a predisposing factor that in fact increases the risk of impingement [5]. Recently, morphologic features of impingement were observed in traumatic hip dislocations in athletes [13] who regularly used their hip mobility to the extremes. However, there was no control group in that study.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, Philippon et al [13] reported nine of 14 traumatic hip dislocations in athletes treated with arthroscopy for residual problems had evidence of femoroacetabular impingement (FAI) [5]. Analogous to prosthetic impingement, this pathologic femoroacetabular conflict theoretically would act as a fulcrum for posterior dislocation in deep flexion and internal rotation [15].…”

Section: Introductionmentioning

confidence: 99%

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Femoroacetabular Impingement Predisposes to Traumatic Posterior Hip Dislocation

Steppacher

Albers

Siebenrock

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Traumatic posterior hip dislocation in adults is generally understood to be the result of a high-energy trauma. Aside from reduced femoral antetorsion, morphologic risk factors for dislocation are unknown. We previously noticed that some hips with traumatic posterior dislocations had evidence of morphologic features of femoroacetabular impingement (FAI), therefore, we sought to evaluate that possibility more formally. Questions/purposes We asked whether hips with a traumatic posterior hip dislocation present with (1) a cam-type deformity and/or (2) a retroverted acetabulum. Methods We retrospectively compared the morphologic features of 53 consecutive hips (53 patients) after traumatic posterior hip dislocation with 85 normal hips (44 patients) based on AP pelvic and crosstable axial radiographs. We measured the axial and the lateral alpha angle for detection of a cam deformity and the crossover sign, ischial spine sign, posterior wall sign, retroversion index, and ratio of anterior to posterior acetabular coverage to describe the acetabular orientation. Results Hips with traumatic posterior traumatic dislocation were more likely to have cam deformities than were normal hips, in that the hips with dislocation had increased axial and lateral alpha angles. Hips with posterior dislocation also were more likely to be retroverted; dislocated hips had a higher prevalence of a positive crossover sign, ischial spine sign, and posterior wall sign, and they had a higher retroversion index and increased ratio of anterior to posterior acetabular coverage. Conclusions Hips with posterior traumatic dislocation typically present with morphologic features of anterior FAI, including a cam-type deformity and retroverted acetabulum.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Femoroacetabular Impingement Predisposes to Traumatic Posterior Hip Dislocation

Steppacher

Albers

Siebenrock

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…A further limitation might be that MRI scans for the detection of any intra-articular hip joint pathologies such as labral or chondral lesions may not have been performed. This may be the result of a lack of distinct recommendations concerning the use of MRI after anterior traumatic hip dislocation as well as the deficit in the amount of general information on chondral lesions or labrum injuries available in the literature [2,4,29]. However, in the acute trauma setting in the present study, conventional X-rays and CT scans were preformed after reduction to detect injuries requiring subsequent treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic hip dislocations are usually observed following high-energy trauma-mostly caused by traffic accidents [1][2][3], but also seen in professional athletes [4]. Hip dislocations are classified into central, posterior and anterior types, whereas the latter are further subdivided into inferior (obturator) and superior (pubic) types [5].…”

Section: Introductionmentioning

confidence: 99%

Long-term outcome after traumatic anterior dislocation of the hip

Bastian

Turina

Siebenrock

et al. 2011

Arch Orthop Trauma Surg

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“…Labral tears, chondral and intra-articular loose fragments, and ligamentum teres injury often accompany traumatic dislocations of the hip. 12 Hip arthroscopy yields less morbidity, causes minimal soft-tissue damage, and allows early rehabilitation. It is used mainly for the management of femoroacetabular impingement, postinjury removal of osteochondral fractures, labral repair, and internal and external snapping hip syndrome.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Reduction and Internal Fixation for Pipkin Type I Femoral Head Fracture: Technical Note

Kekatpure

Ahn

Lee

et al. 2016

Arthroscopy Techniques

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Femoral head fractures after posterior dislocation of the hip are uncommon and are conventionally treated by an open method. Hip arthroscopy can be a valuable treatment option for the management of femoral head fractures. Arthroscopy allows for a less invasive option when compared with arthrotomy and can allow faster recovery with minimal soft-tissue injury. We describe the arthroscopic reduction and internal fixation of Pipkin type I femoral head fractures with a detailed stepwise description of the surgical technique, including technical pearls and pitfalls, potential complications, and advantages and disadvantages.

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Arthroscopic Findings Following Traumatic Hip Dislocation in 14 Professional Athletes

Cited by 217 publications

References 18 publications

Femoroacetabular Impingement Predisposes to Traumatic Posterior Hip Dislocation

Femoroacetabular Impingement Predisposes to Traumatic Posterior Hip Dislocation

Long-term outcome after traumatic anterior dislocation of the hip

Arthroscopic Reduction and Internal Fixation for Pipkin Type I Femoral Head Fracture: Technical Note

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