scholarly journals A case of posterior HIP dislocation with intertrochanteric fracture: Beware of the sharp calcar spike

2019 ◽  
Vol 10 (5) ◽  
pp. 975-980
Author(s):  
Keyur B. Desai ◽  
Anoop C. Dhamangaonkar
Keyword(s):  
Intertrochanteric Fracture ◽  
Hip Dislocation ◽  
Posterior Hip Dislocation

scholarly journals Atraumatic Posterior Hip Dislocation following Short Femoral Nail for Intertrochanteric Fracture Treated by Dual Mobility System in Total Hip Arthroplasty: A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Yasuhisa Yoshida ◽  
Akira Yoshida ◽  
Yuto Takashima ◽  
Hideto Fujii
Keyword(s):  
Hip Fracture ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Intertrochanteric Fracture ◽  
Hip Dislocation ◽  
Dual Mobility ◽  
Intertrochanteric Hip Fracture ◽  
Mobility System ◽  
Posterior Hip Dislocation

Introduction: Atraumatic hip dislocation after short femoral nail (SFN) fixation for an intertrochanteric fracture is extremely rare. Case Report: An 84-year-old woman presented with an atraumatic posterior hip dislocation that occurred 8 years after SFN fixation for an intertrochanteric hip fracture. She experienced an acute-onset left hip pain when standing up from a sitting position while bathing at a day care facility. We performed total hip arthroplasty (THA) with a dual mobility system. During the post-operative THA evaluation, the combined anteversion angle was within the optimum range of 57. However, the dislocation recurred after the THA. During the revision THA, a dual mobility system was used to moderately extend the stem neck. Measures were adopted to strain the posterior soft tissues of the hip joint. We speculated that the posterior hip joint capsule ruptured because the support of the posterior hip joint was weak after the intertrochanteric hip fracture. At the final follow-up visit at 6 months after the operation, the hip joint pain had disappeared, and her activities of daily living recovered to almost the same level as her preinjury activities. Conclusions: We should consider the lack of support of posterior soft tissues as a cause of this atraumatic posterior hip dislocation following intertrochanteric fracture fixation. Keywords: Atraumatic posterior hip dislocation, post-operative state of intertrochanteric hip fracture, short femoral nail, total hip arthroplasty, dual mobility system.

scholarly journals Concomitant posterior hip dislocation, ipsilateral intertrochanteric- and proximal tibial- fractures with popliteal artery injury: a challenging trauma mélange

2015 ◽  
Vol 5 (4) ◽  
Author(s):  
Pranit N. Chotai ◽  
Nabil A. Ebraheim ◽  
Ryan Hart ◽  
Andrew Wassef
Keyword(s):  
Popliteal Artery ◽  
Tibial Fracture ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Weight Bearing ◽  
Hip Dislocation ◽  
Postoperative Outcome ◽  
Activity Level ◽  
Artery Injury ◽  
Posterior Hip Dislocation

Constellation of ipsilateral posterior hip dislocation, intertrochanteric- and proximal tibial fracture with popliteal artery injury is rare. Management of this presentation is challenging. A motor vehicle accident victim presented with these injuries, but without any initial signs of vascular compromise. Popliteal artery injury was diagnosed intra-operatively and repaired. This was followed by external fixation of tibial fracture, open reduction of dislocated hip and internal fixation of intertrochanteric fracture. Patient regained bilateral complete weight bearing and returned to pre-accident activity level. Apt surgical management including early repair of vascular injury in such a trauma mélange allows for a positive postoperative outcome.

Posterior Hip Dislocation Reduction

2012 ◽  
Vol 19 (4) ◽  
pp. e15-e15
Author(s):  
Shekhar Menon ◽  
Ernest Wang ◽  
Morris Kharasch ◽  
Susan Bednar ◽  
Lauren Alexander ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Dislocation Reduction ◽  
Posterior Hip Dislocation

Low-Energy Bilateral Posterior Hip Dislocation

2018 ◽  
Vol 8 (3) ◽  
pp. e56-e56
Author(s):  
Nickolas Linkous ◽  
Gregory Nowinski
Keyword(s):  
Hip Dislocation ◽  
Low Energy ◽  
Posterior Hip Dislocation

scholarly journals An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Mehmet Demirel ◽  
Berkan Anarat ◽  
Mehmet Ersin ◽  
Ali Erşen ◽  
Cengiz Şen
Keyword(s):  
Glenohumeral Joint ◽  
Vital Signs ◽  
Hip Dislocation ◽  
Treatment Method ◽  
Concomitant Injuries ◽  
Single Operator ◽  
Luxatio Erecta ◽  
Inferior Dislocation ◽  
One Step ◽  
Posterior Hip Dislocation

Introduction. Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case in terms of luxatio erecta humeri, which has a different aetiology, treatment method, and concomitant injury. Presentation of Case. We report a construction worker who was rescued from a collapsed building who presented with both luxatio erecta humeri and complex posterior hip dislocation. An orthopaedic surgeon reducted luxatio erecta humeri with a one-step reduction technique under procedural anaesthesia as soon as the patient’s vital signs were stable. Discussion. Different concomitant injuries and various injury mechanisms have been described in regard to inferior shoulder dislocation in the literature. However, posterior dislocation of the hip as a concomitant distant region injury and trapping as an injury mechanism for luxatio erecta humeri are being described for the first time in this case report. Two reduction manoeuvers, one-step and two-step, have been used for this dislocation. Some authors suggested that a two-step manoeuver can be more easy to apply. In our specific case, luxatio erecta was easily reducted by a single operator in a single attempt. Conclusion. Luxatio erecta humeri may occur from trapping and complex injuries can accompany luxatio erecta humeri in patients with multiple trauma. A one-step closed reduction can be easily applied by a single operator under procedural anaesthesia.

scholarly journals Traumatic bilateral posterior hip dislocation in 10 year old male child

2014 ◽  
Vol 5 (3) ◽  
pp. 154-156 ◽  
Author(s):  
Vipul Garg ◽  
Ajay Pal Singh ◽  
Arun Pal Singh ◽  
P.S. Bajaj
Keyword(s):  
Hip Dislocation ◽  
Male Child ◽  
Posterior Hip Dislocation

scholarly journals Management of Recurrent Posterior Hip Dislocation in a Down Syndrome Patient with Dysplastic Hip Using Ganz Periacetabular Osteotomy: Follow Up After 4 Years

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0003
Author(s):  
Ismail H. Dilogo ◽  
Jessica Fiolin
Keyword(s):  
Down Syndrome ◽  
Periacetabular Osteotomy ◽  
Weight Bearing ◽  
Hip Dislocation ◽  
Harris Hip Score ◽  
Syndrome Patient ◽  
Down Syndrome Patient ◽  
Dysplastic Hip ◽  
Posterior Hip Dislocation

Recurrent hip dislocation in a Down Syndrome patient with dysplastic hip is a very challenging case to treat even for an expert orthopaedic hip surgeon. Least compliant patient and family, lowly educated with low socioeconomic status and the dysplastic hip forces limited option as a treatment. This is the first case world wide reporting 4 year follow up of dysplastic hip with Down Syndrome treated successfully with PAO technique. Methods: An eighteen years old female with history of Down Syndrome had multiple posterior hip dislocation episodes since 3 years prior. Several attempts of close reduction and hip spica applications were performed upon dislocation despite no successful retaining of reduction. Acetabular index of right hip were 550 and epiphyseal plate hasclosed. PatientwasperformedopenreductionusingSouthern-Mooreposteriorapproachand osteotomy of ischium, continued with capsulorrhaphy followed with Smith-Peterson anterior approach and osteotomy of superior ramus pubis and iliac bone. Then, derotation maneuver was performed under image intensifier to obtain adequate coveragefollowedwithbonegraftandfixationusing2cannulatedscrewandhipspica castapplication. Results: Within four years after surgery, the hip has never been dislocated again, patient could sit without pain and walk with full weight bearing although Harris Hip Score could not be performed due to Down Syndrome. Leg length discrepancy was negligible,fracture has fully united and acetabularin dex was300. Conclusions: Ganz periacetabular osteotomy, although a technically demanding surgery, is a preferable treatment in recurrent hip dislocation for Down Syndrome patient with good to excellent clinical and radiological ou tcome

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