Luxatio erecta of the hip- A report of five cases and the literature review

Isolated Luxatio Erecta Femoris – Case Series and Review of Literature

“…MEDLINE, PubMed, and Google Scholar were searched using the key words: “‘Hip”’ and “‘inferior dislocation”’ or “‘luxatio erecta femoris”’ or “‘infracotyloid dislocation’.” A total of 21 articles reporting on 24 men and 6 women aged 5– to 56 (mean, 25) years with 28 unilateral and one bilateral inferior dislocation of the hip were reviewed ( Table 1 ) [ 2 , 3 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. Two patients had a concurrent displaced fracture of the ipsilateral proximal femur.…”

“…One patient had a recurrent dislocation after a fall from a standing height one 1 year later. Two patients underwent operative treatment for shaft of femur fracture (inter locking nailing) [ 9 , 26 ] . All patients eventually achieved a full and pain-free range of hip motion, with no evidence of avascular necrosis of the femoral head.…”

“…[ 19 ] ( Fig 7 ). Ischial subtype could result from a fall from height, leading to an axial load to the femur in a flexed position or from an injury that forces the hip into wide abduction, the femur inverted and the head lying below the acetabulum alongside and lateral to the ischial tuberosity [ 26 ] ( Fig. 8 ).…”

“…In the treatment of traumatic luxatio erecta femoris, closed reduction is recommended through muscle relaxation under general anaesthesia or sedation, but at times open reduction is the next option [ 26 ]. Reduction can be attained by maintaining traction toward the head end of patient while gradually extending the thigh, sometimes with additional internal rotation.…”