Medium-term outcome and classification of traumatic anterior hip dislocations

Yaari, Lee; Kadar, Assaf; Shemesh, Shai; Haviv, Barak; Leslie, Michael

doi:10.1177/1120700020918868

Cited by 11 publications

(16 citation statements)

References 18 publications

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“…There was no significant difference in age or gender. However, the neglect time of patients with good outcomes was up to 6 mo, which was much shorter than those with fair or bad outcomes, similar to many studies showing that neglect time is an important prognostic factor[ 19 , 21 , 26 ].…”

Section: Discussionsupporting

confidence: 79%

“…The hip is a stable joint, and the weakest point is the posteroinferior capsule. Therefore, anterior hip dislocations are more infrequent than posterior dislocations[ 20 ], accounting for up to 13% of all hip dislocations[ 21 ]. Anterior dislocation occurs as a result of a force acting on an abducted hip joint, which is then flexed and externally rotated to dislocate the femoral head forward[ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Femoral head indentation fractures have been presented to occur in 15% to 55% of patients after anterior hip dislocation[ 2 , 28 ]. Patients with femoral head fractures deeper than 4 mm reportedly have a poor prognosis, which is thought to predispose for posttraumatic arthritis in 88%[ 21 ]. However, our patient refused any further treatment except reduction due to economic reasons.…”

Section: Discussionmentioning

confidence: 99%

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Old unreduced obturator dislocation of the hip: A case report

Li¹,

Wang²,

Ni³

et al. 2021

WJCC

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BACKGROUND Obturator dislocation is a rare type of hip dislocation, accounting for about 2%-5% of all hip dislocations. The occurrence of old unreduced obturator dislocation is even more infrequent, with only 17 cases reported in nine studies, most of which were from the 1950s to 1980s in developing countries. CASE SUMMARY A 38-year-old woman from Hunan Province, China presented with stiffness of the left hip in abduction, flexion, and external rotation after falling from a 2-meter-tall tree onto her left knee 1.5 mo prior. Pelvic radiograph and computed tomography revealed obturator dislocation of the left hip accompanied by impaction fracture at the superolateral aspect of the left femoral head without associated acetabulum fracture. Open reduction was performed, resulting in restoration of the concentric alignment of the left hip. After surgery, 6-wk skin traction was applied and the patient was kept in bed for an additional 2 wk. At 3 mo after surgery, the patient reported experiencing some pain, which did not affect the function of the affected limb, and some movement restriction but no abduction deformity or claudication was present. An X-ray showed that the left hip was homocentric, and there was no sign of posttraumatic arthritis or avascular necrosis. CONCLUSION Open reduction may be an effective treatment strategy for the rare condition of old unreduced obturator dislocation with short neglect time.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Old unreduced obturator dislocation of the hip: A case report

Li¹,

Wang²,

Ni³

et al. 2021

WJCC

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“…В момент травмы головка БК может форсированно соударяться о задний или передний край вертлужной впадины в зависимости от направления вывиха, и тогда возникает импакционный дефект ее хрящевой поверхности по аналогии с повреждением Hill -Sachs плечевой кости. Подобные дефекты наблюдаются с вариабельностью 15-63% от всех случаев вывиха бедра и ассоциированы с повышенным риском развития остеоартроза ТБС [69,70]. Многие из этих повреждений невозможно визуализировать при помощи рутинных рентгенограмм, незаменимым помощником в подобных случаях является СКТ [69].…”

Section: дальнейшая тактика леченияunclassified

“…В таких случаях показана мозаичная хондропластика или микрофрактурирование, при более мелких дефектах -консервативное лечение. Если головка признана невосстановимой, проводят артропластику сустава [69,70].…”

Section: дальнейшая тактика леченияunclassified

Traumatic Hip Dislocation: Lecture

Berezin

Bragina

Petrushin

2021

Traumatology and Orthopedics of Russia

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Traumatic hip dislocations occupy the fourth place among dislocations of various localizations and, as a rule, are the result of exposure to a high-energy traumatic agent. Such injuries are more often observed in young and middle-aged males. The main cause of hip dislocations is road accidents. The femoral head is more often dislocated posteriorly, but anterior dislocations are not casuistic and account for approximately 10%. Hip dislocations are often combined with acetabular fractures, while their fairly clear clinical picture in the presence of fractures can be leveled. Traumatic hip dislocations require urgent diagnosis and treatment. After the clinical examination of the patient, an x-ray of the pelvis and hip joints are performed. Radiographic diagnosis of hip dislocation remains relevant, but modern imaging methods allows to study the hip joint in more detail and identify concomitant injuries. The main treatment for hip dislocation is closed reduction. Early dislocation reduction and the absence of damage to the structures forming the hip joint are important for the treatment results prognosis. The further patient management tactics after the dislocation reduction is determined by the results of stress tests and the CT data. When confirming the instability and associated injuries of the hip joint anatomical structures, surgical treatment is indicated. Among the complications of hip dislocation: sciatic nerve damage, post-traumatic coxarthrosis, the femoral head avascular necrosis, heterotopic ossification. Current literature data indicates the importance of early diagnosis of dislocation-associated injuries of the hip joint and periarticular tissues. Early and comprehensive repair of all existing injuries is crucial for favorable outcomes. A number of therapeutic and diagnostic methods, primarily arthroscopy, show optimistic results, but need further study.

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Extremely rare combination of open dislocation of the ankle with superior type anterior hip dislocation without bone fracture: A case report

Joshi¹,

Karki²,

Timilsina

et al. 2022

Clinical Case Reports

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Open dislocation of the ankle without associated fracture is extremely rare. Epstein's superior type of hip dislocation is the rarest type of hip dislocation. We reported a case of 50 years Nepalese gentleman who presented with a combination of these two rare orthopedic emergencies with the newly reported mechanism of injury by a garden tractor. Early extensive debridement of the wound with broad spectrum antibiotics coverage, reduction with delta frame external fixator, and postoperative rehabilitation helps in saving limb along with its function.

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Medium-term outcome and classification of traumatic anterior hip dislocations

Cited by 11 publications

References 18 publications

Old unreduced obturator dislocation of the hip: A case report

Old unreduced obturator dislocation of the hip: A case report

Traumatic Hip Dislocation: Lecture

Extremely rare combination of open dislocation of the ankle with superior type anterior hip dislocation without bone fracture: A case report

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