Chronic hip dislocations: a rarity. How should we treat them?

Selimi, V.; Oy, Heang; Kim, Y.; Woelber, Erik; Gollogly, James

doi:10.1016/j.jor.2016.09.002

Cited by 6 publications

(9 citation statements)

References 13 publications

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“…Using a structured questionnaire, biodemographic characteristics, mechanism of injury, type and grade of dislocation, the interval between injury and successful reduction were retrieved from the case files. By definition, a chronic hip dislocation is defined as a hip that has remained unreduced for >6 weeks 17. Furthermore, the method of reduction and presence of associated injuries at the time of presentation were noted.…”

Section: Methodsmentioning

confidence: 99%

Traumatic hip dislocations in an orthopedic center in Lagos

Babalola¹,

Laiyemo²,

Audu³

et al. 2018

Niger Med J

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Background: Hip dislocations are one of the orthopedic emergencies. They may result from a high-energy transfer as in a road traffic crash. Prompt recognition and treatment can reduce the long-term morbidity associated with delayed reduction. The goal of this study was to evaluate the epidemiology and outcome of treatment. Patients and Methods: This was a retrospective study that involved cases of traumatic hip dislocations seen at the National Orthopedic Hospital, Lagos, Nigeria, between January 1, 2010 and June 30, 2014. Biodemographic characteristics, mechanism of injury, and type of dislocations were retrieved from case files. Thompson and Epstein type of the dislocated hips as well as the presence of pre- and post-reduction complications was noted. Results: Forty-five patients had hip dislocations in the study period. Only 27 had the relevant information to be included in the study. All cases were posterior hip dislocations. The median follow-up was 9 months (range 6–30 months). More dislocations occurred on the left [18 (67.0%)] than on the right [9 (33.0%)]. The median age of patients was 37 years (range 21–73 years). Twenty-six dislocations (96.3%) were due to road traffic crash and a case (3.7%) was due to an industrial accident. Grade IV Epstein was the most common injury recorded. Twenty-four (89.0%) cases were managed with closed reduction, whereas the remaining 3 (11.0%) cases had open reduction. The associated complications observed were sciatic nerve injury, avascular necrosis of the head of the femur, and protrusio acetabuli. Conclusion: Road traffic crash remains a leading cause of traumatic hip dislocation. Severity of injury and delay in reduction contributes to the complications of treatment.

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Section: Methodsmentioning

confidence: 99%

Traumatic hip dislocations in an orthopedic center in Lagos

Babalola¹,

Laiyemo²,

Audu³

et al. 2018

Niger Med J

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“…4 After literature review, hip dislocations rarely presented later than 6 weeks in developed countries. 5 This case report highlights the importance of musculoskeletal connection and anatomical response to pathology. The increasing elderly population and efforts to increase access to medical care in rural populations may make chronic injuries less of a rare diagnosis.…”

Section: Introductionmentioning

confidence: 77%

“…Other potential sequelae consist of post‐traumatic osteoarthritis, recurring dislocation, or thromboembolism 4 . After literature review, hip dislocations rarely presented later than 6 weeks in developed countries 5 . This case report highlights the importance of musculoskeletal connection and anatomical response to pathology.…”

Section: Introductionmentioning

confidence: 84%

“…6,7 Children have more After more than 75 years of the initial injury, a THA would be the only possible correction. 4,5 Surgery might improve the patient's abnormal gait, thus potentially reducing her pain. However, a THA in an 80-year-old with chronic respiratory failure is not without risk.…”

Section: Discussionmentioning

confidence: 99%

“…After more than 75 years of the initial injury, a THA would be the only possible correction 4,5 . Surgery might improve the patient's abnormal gait, thus potentially reducing her pain.…”

Section: Discussionmentioning

confidence: 99%

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The curious case of a 75‐year‐long dislocated hip causing abdominal pain

Kukuruza

Totten

et al. 2020

JACEP Open

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We present a case of abdominal pain due to chronic hip dislocation of 75 years duration. Hip dislocations are not uncommon, but long‐term, unreduced dislocations are vanishingly rare in the developed world. This 80‐year‐old female, who emigrated to the United States as an adult, presented to the emergency department for acute abdominal pain. Workup showed no intra‐abdominal cause for her pain. History revealed she had suffered a traumatic hip dislocation at 5 years of age that was unable to receive adequate treatment because of limited health care access. After several years, she regained functional ability because of anatomic and compensatory musculoskeletal changes in the pelvis. The adaptations likely caused excessive muscular strain resulting in muscle spasm at the location of her abdominal pain. To our knowledge, this is the only reported case of a hip that remained dislocated for 75 years.

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