La luxation obturatrice traumatique chez l’adulte

Boyer, Priscilla; Bassaine, M; Huten, D.

doi:10.1016/s0035-1040(04)70730-8

Cited by 9 publications

(6 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Anterior capsular injuries are constant [14]. These lesions can lead to irreducibility by a buttonhole effect [15].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Untitled

2023

IJCMCR

View full text Add to dashboard Cite

Obturator hip dislocation is a rare variety of regular hip dislocations. Shoulder erecta dislocation is also a rare condition. the association of these two entities is exceptional. We report an exceptional case of a 19-year-old patient who presented with concomitant dislocations; erecta of the left shoulder and obturator of the hip on the same side following an accident on the public highway, motorcyclist hit by car with point of impact at the level of the internal face of his right knee then he fell on his shoulder left in abduction. The patient presented to the emergency room with an attitude of irreducible abduction of the left shoulder and flexion, abduction, external rotation of the left lower limb. The vascular and nervous examination was normal. The X-ray confirmed the diagnosis of a dislocation erecta of the left shoulder associated with an obturator dislocation of the hip on the same side. Emergency reduction under general anesthesia and curarization within 4 hours was performed in the operating room for both dislocations. a restraint of the left upper limb by orthosis elbow to the body, for three weeks and A discharge of 45 days was prescribed. An early rehabilitation of the left shoulder and the left lower limb without support was started after 03 weeks of immobilization followed deferred support from the 45th post-traumatic day. The Follow-up after 16 months was noted without stiffness or pain in the shoulder and hip, and without radiological signs of osteonecrosis of the femoral head.

show abstract

“…Anterior capsular injuries are constant [14]. These lesions can lead to irreducibility by a buttonhole effect [15].…”

Section: Discussionmentioning

confidence: 99%

“…Orthopaedic reduction is urgently required [17]. Reduction difficulties related to muscle mass, the risk of femoral head entrapment in the obturated foramen, and iatrogenic fracture of the neck have been reported [14]. This reduction must be performed under general anaesthesia with complete muscle relaxation.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2023

IJCMCR

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…This reinforces the mechanistic idea that the femoral head is completely locked behind the ilioinguinal ligament, under the transverse ligament, with occasional impingement of the femoral head in the U radiological acetabular landmark, with an uncapping effect, and that this is the source of femoral neck fracture or head impingement, at the time of the trauma or during reduction manoeuvers. 58,70 In contrast, a majority of femoral head fractures and anterior acetabular wall fractures occurred in proximal anteroinferior dislocations, reinforcing the idea of anterior migration of the femoral head and anterior capsuloligamentous injury of the hip. 107 Reduction and anaesthetic modalities.…”

Section: Associated Injuriesmentioning

confidence: 96%

Prognostic and therapeutic interest of a new classification in inferior hip dislocation: a systematic review of the literature

2022

View full text Add to dashboard Cite

Introduction: Reported cases of inferior dislocation in the literature are found under several names (inferior, anteroinferior, obturator, or erecta), which may be source of confusion. The purpose of this comprehensive review of the literature is to collect as many cases of inferior dislocation as possible to determine better therapeutic strategies, outcome after reduction, complications, and prognostic factors. Methods: In April 2020, a literature search was performed in Pubmed, Medline, Scopus, Cochrane, and Embase databases. The MeSH keywords were “OBTURATOR DISLOCATION HIP” or “ANTERIOR DISLOCATION HIP” or “INFERIOR DISLOCATION HIP.” Authors independently selected articles that met the selection criteria, with no time limit. Results: Out of the 97 articles selected, there were 119 cases of primary inferior hip dislocations. This review of the literature has allowed us to differentiate 3 radiographic subtypes of inferior dislocations, which correspond to 3 different anatomical positions of the femoral head: “obturator” dislocation, “proximal anterior-inferior” dislocation, and “distal anterior-inferior” dislocation. Our subtype classification yielded 39 obturator subtype inferior dislocations (32.8%), 66 proximal anteroinferior subtypes (55.4%), and 14 distal anteroinferior (11.8%). The obturator subtype is at risk of reduction failure and femoral neck fracture during the reduction manoeuver. Conclusions: Our study identified 3 subtypes with different prognosis, with obturator and distal anteroinferior dislocations having a poorer prognosis because of their pre- and post-reduction complications. We were unable to determine the correct manoeuver to reduce inferior dislocations without taking the risk of femoral neck fracture, but each of these subtypes may require a different manoeuver.

show abstract

“…The direction of the vertical shear stress of the femoral neck is inconsistent with the direction of dislocation of the femoral head into the obturator, which must be the result of two injuries. Medda et al [ 43 – 45 ] reported several cases of anterior hip dislocation with pubic fracture, but no femoral neck fracture. We believe that this injury was caused by only one violence.…”

Section: Discussionmentioning

confidence: 99%

Femoral neck fracture combined with anterior dislocation of the femoral head: injury mechanism and proposed novel classification

Liu

Ding

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Femoral neck fracture combined with anterior dislocation of the femoral head is very rare. To our knowledge, there is no classification system yet for this rare form of injury, and the injury mechanism of femoral neck fracture combined with obturator head dislocation has not been described in the literature. In this study, we systematically reviewed the literature and the cases treated in our hospital, and identified and classified all injury types according to the injury mechanism of femoral neck fracture combined with anterior dislocation of the femoral head. Further, based on the experience of treating a patient with femoral neck fracture and obturator dislocation of the femoral head, a theoretical hypothesis was proposed for the injury mechanism of this rare type of injury. Methods A comprehensive search was conducted on PubMed, WOS, CNKI database. These fractures were classified according to the dislocation site and injury mechanism (one injury or two injuries). Results 1891 articles were initially identified through PubMed and other databases, and after bibliographic research, study screening, and removing duplicates, 1455 articles were selected. After applying the exclusion criteria, a total of 18 full-text articles describing femoral neck fractures combined with anterior dislocation of the femoral head. Different dislocation sites have different injury mechanisms. Our classification system, to the best of the authors’ knowledge, allowed us to include all types of femoral neck fractures combined with anterior dislocation of the femoral head from the literature. According to the proposed classification system, the morphological features of femoral neck fracture combined with anterior dislocation of the femoral head can be accurately conveyed between doctors. Conclusions All injury patterns can likely be identified using the proposed classification system. This can help avoid confusion in the nomenclature of femoral neck fractures combined with anterior dislocation of the femoral head and help surgeons to more accurately detect lesions, thereby guiding surgical treatment.

show abstract

La luxation obturatrice traumatique chez l’adulte

Cited by 9 publications

References 18 publications

Untitled

Untitled

Prognostic and therapeutic interest of a new classification in inferior hip dislocation: a systematic review of the literature

Femoral neck fracture combined with anterior dislocation of the femoral head: injury mechanism and proposed novel classification

Contact Info

Product

Resources

About