Traumatic inferior hip dislocation: a rare adult case with ipsilateral bifocal hip fracture

Moussa, Majd El Hajj; Tawk, Charbel; Hoyek, Fadi; Lahoud, Jean-Claude

doi:10.1093/jscr/rjw056

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Four patients were lost to follow- up. [ 13 , 14 , 16 , 27 , 28 ]. A limitation of this study was that meta-analysis was not performed and that only case reports and case series were reviewed.…”

Section: Discussionmentioning

confidence: 99%

Isolated Luxatio Erecta Femoris – Case Series and Review of Literature

Kumar¹,

George²,

Nair³

2022

JOCR

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Introduction: Luxatio erecta femoris or inferior hip dislocation is the rarest type of hip dislocation. It can be caused by a severe trauma to the hip and the mechanism of injury is often very complex. Very few cases have been reported in the literature, and often associated with other musculoskeletal injuries. Overall about 3026 cases were reported till recently. Case Presentations:We came across five cases of Luxatio erecta femoris from our six year study period from 2015 to 2020. All five cases were males (mean age-28.4 years, age range 20–40 years). All of them were isolated injuries (pure dislocation without any associated femur, acetabular, or pelvic fractures). We will present the details of these cases along with review of literature, trying to unravel the mechanism of such an injuries. Conclusion:With the increase in high energy road traffic accidents, the incidence of luxatio erecta femoris in adults has increased. We could identify all those injuries and treated it with excellent clinical outcome. This type of rare dislocations if properly identified, we can manage it without much delay and very minimal complications. Keywords:Luxatio erecta femoris, dislocation, trauma.

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Section: Discussionmentioning

confidence: 99%

Isolated Luxatio Erecta Femoris – Case Series and Review of Literature

Kumar¹,

George²,

Nair³

2022

JOCR

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Woman With Hip Pain

Calder

Smith

2019

Annals of Emergency Medicine

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Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern

Desai

2021

Journal of Clinical Orthopaedics and Trauma

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Proximal femoral extracapsular fractures with associated ipsilateral hip dislocation is an extremely rare pattern of injury. These fractures may be associated with a spectrum of severity from isolated trochanteric fractures to comminuted intertrochanteric and subtrochanteric fractures with hip dislocation. To date, this pattern of injury is not described in any injury classification system and no clear cut guidelines for the same are available. The aim of this review is to provide an evidence based pooled analysis of the existing literature and develop guidelines that help surgeons tackle this rare injury pattern. Methods: A comprehensive review of the literature was undertaken using the PRISMA. Case reports and series of Extracapsular proximal femoral fracture dislocations published in PubMed, EMBASE, Springer, OvidSP, ScienceDirect, Web of Science and Google scholar between inception of journals to May 2020 were included in the review. A pooled analysis comparing the demography, pattern of the fracture, mode and mechanism of injury with the clinical and radiological outcome and complications was performed. Results: 52 cases from 46 case studies were included in the pooled analysis. There was a near significant association between avascular necrosis and mean time to reduction (p ¼ 0.0865). Individuals with compound injury had 10.12 times higher risk of avascular necrosis (p ¼ 0.009). No significant association between the pattern of proximal femur fracture and incidence of avascular necrosis (p ¼ 0.116, chisquare). There was no significant association between polytrauma and poor clinical outcomes. (p ¼ 0.231). Conclusions: Principles of damage control orthopaedics should be followed in unstable patients with this rare fracture dislocation. Percutaneous Schanz screw reduction manoeuvre can be attempted gently with a low threshold to perform an open reduction. Every attempt at salvaging the fractured hip must be performed in young individuals with an arthroplasty standby for comminuted and unreconstructable cases.

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Traumatic inferior hip dislocation: a rare adult case with ipsilateral bifocal hip fracture

Cited by 5 publications

References 6 publications

Isolated Luxatio Erecta Femoris – Case Series and Review of Literature

Isolated Luxatio Erecta Femoris – Case Series and Review of Literature

Woman With Hip Pain

Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern

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