Traumatic Dislocation of the Hip

Traumatic Dislocation and Fracture-Dislocation of the Hip: A Long-Term Follow-Up Study

“…Most investigators believe that this is best accomplished in the operating room under general anesthesia. 1 However, Rosenthal and Coker 4 stated that the reduction of traumatic dislocation of the hip can often be quickly and gently performed in an emergency department with analgesia alone. We also believe that this is the optimal method of The Journal of TRAUMA Injury, Infection, and Critical Care management for patients who do not need immediate surgery for other injuries.…”

“…1,[3][4][5]7,13,18,21 Complete recovery can be achieved only after early reduction; critical delay is reported by some authors as 12 hours. 3,21 More recent articles recommend reduction within 6 hours, 17,25 but none of these studies included enough patients with hip reduction between 7 and 12 hours.…”

Clinical Pearls Bilateral Thigh Pain

“…6 In the , @ view, the posteriorly dislocated femoral head is located superior and lateral to the acetabulum. The femoral head also appears smaller than a normal femoral head because it is closer to the cassette when the radiograph is taken.…”

Traumatic bilateral posterior hip dislocation in 10 year old male child

“…17 Even under ideal conditions, however, the risk of avascular necrosis cannot be completely eliminated and incidence of avascular necrosis was 10% or less following hip dislocation in skeletally immature patients. 17,18 A review of the literature demonstrated that three-quarters of the patients with avascular necrosis had reduction delayed by more than 24 h and that the others received severe trauma directly to the hip. 7,18 In our case we attempted reduction 2 h following injury and there is no evidence of avn following or chondrolysis at 2 year follow-up.…”

“…17,18 A review of the literature demonstrated that three-quarters of the patients with avascular necrosis had reduction delayed by more than 24 h and that the others received severe trauma directly to the hip. 7,18 In our case we attempted reduction 2 h following injury and there is no evidence of avn following or chondrolysis at 2 year follow-up.…”