Atraumatic Anterior Hip Dislocation as High Grade of Hip Instability

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Lucas Arbeloa-Gutierrez ◽  
Antonio Arenas-Miquelez
Keyword(s):  
Hip Dislocation ◽  
High Grade ◽  
Hip Instability ◽  
Anterior Hip Dislocation

Estimated effect of secondary screening for hip dislocation

2020 ◽  
Vol 105 (12) ◽  
pp. 1175-1179
Author(s):  
Daniel Wenger ◽  
Carl Johan Tiderius ◽  
Henrik Düppe
Keyword(s):  
Birth Cohort ◽  
Absolute Risk ◽  
Hip Dislocation ◽  
Absolute Risk Reduction ◽  
Age At Diagnosis ◽  
Hip Instability ◽  
Primary Screening ◽  
Surrogate Variable ◽  
Secondary Screening ◽  
Child Healthcare

ObjectivesTo quantify the effect of secondary screening for hip dislocations.DesignRetrospective analysis of hospital files from participants in a prospectively collected nationwide registry.SettingChild healthcare centres and orthopaedic departments in Sweden.ParticipantsOf 126 children with hip dislocation diagnosed later than 14 days age in the 2000–2009 birth cohort, 101 had complete data and were included in the study.InterventionsThe entire birth cohort was subject to clinical screening for hip instability at 6–8 weeks, 6 months and 10–12 months age. Children diagnosed through this screening were compared with children presenting due to symptoms, which was used as a surrogate variable representing a situation without secondary screening.Main outcome measuresAge at diagnosis and disease severity of late presenting hip dislocations.ResultsChildren diagnosed through secondary screening were 11 months younger (median: 47 weeks) compared with those presenting with symptoms (p<0.001). Children diagnosed through secondary screening had 11% risk of having a high (severe) dislocation, compared with 38% for those diagnosed due to symptoms; absolute risk reduction 27% (95% CI: 9.7% to 45%), relative risk 0.28 (95% CI: 0.11 to 0.70). Children presenting due to symptoms had OR 5.1 (95% CI: 1.7 to 15) of having a high dislocation, and OR 11 (95% CI: 4.1 to 31) of presenting at age 1 year or older, compared with the secondary screening group. The secondary screening was able to identify half of the children (55%, 95% CI: 45% to 66%) not diagnosed through primary screening.ConclusionsSecondary screening at child healthcare centres may have substantially lowered the age at diagnosis in half of all children with late presenting hip dislocation not diagnosed through primary screening, with the risk of having a high dislocation decreased almost to one-quarter in such cases.

Traumatic Bilateral Anterior Hip Dislocation: A Case Report

2008 ◽  
Vol 21 (1) ◽  
pp. 62
Author(s):  
Sung-Taek Jung ◽  
Hyun-Jong Kim ◽  
Myung-Sun Kim ◽  
Young-Jin Kim ◽  
Sang-Kwan Cho
Keyword(s):  
Case Report ◽  
Hip Dislocation ◽  
Anterior Hip Dislocation

scholarly journals A 6-Month-Old Neglected Obturator Inferior Variety of Anterior Hip Dislocation in A Young Male Managed with an Intermediary Salvage Measure Without the Need for Osteotomy or Excision Arthroplasty with A Resultant Ambulatory Natural Hip – A Case Report

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
Spandan R Koshire ◽  
Rajesh R Koshire ◽  
Sangam Jain
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Hip Dislocation ◽  
Young Male ◽  
Anterolateral Approach ◽  
Salvage Procedure ◽  
Replacement Procedure ◽  
Anterior Hip Dislocation ◽  
Excision Arthroplasty

Introduction: Among all the traumatic hip dislocations, anterior hip dislocation is a rarity in which the obturator inferior variety is one of the rarest to be documented [1]. Here we present to you the case of our patient, a 35-year-old male with a six month neglected obturator variety of anterior hip dislocation treated by salvage procedure of open reduction without the need for intertrochanteric osteotomy and resultant preserved natural hip for ambulation as an intermediary procedure. Case Report: Mr. SH a 35-year-old male had a fall from 15 feet in his village and was treated by a local quack, Meanwhile the patient continued to experience pain and difficulty walking and after an ordeal of nearly 6 months during the lockdown period in coronavirus disease pandemic, showed up in our emergency room and was diagnosed with an obturator type anterior hip dislocation for which we carried out open reduction aided with Murphys skid through an anterolateral approach and stabilization using two Steinman pins and further immobilization by Thomas splint for a period of 15 days, which was done after confirmation of intact head vascularity under general anesthesia after which gradual mobilization was initiated. 3 months post operative, now patient is ambulatory with stick support with no deformity, no pain and with early radiological features of avascular necrosis (AVN) for which Total Hip Replacement (THR) is planned at a later date. Conclusion: Utilisation of salvage procedures and moreover those with minimal operative complications will result in better, natural long-term intermediary measure outcome with a resultant delay in joint replacement procedure which is in the better interest of the patient. Keywords: Anterior hip dislocation, open reduction, obturator inferior type, neglected dislocation, Anterolateral approach.

scholarly journals Ligamentum teres reconstruction with labrum and capsule repair after posterior acetabular wall fracture: a case report

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. i41-i45
Author(s):  
Jacek Mazek ◽  
Maciej Gnatowski ◽  
Antonio Porthos Salas ◽  
Marcin Domżalski ◽  
Rafał Wójcicki ◽  
...  
Keyword(s):  
Hip Joint ◽  
Hip Dislocation ◽  
Ligamentum Teres ◽  
Hip Instability ◽  
Post Traumatic ◽  
The Right ◽  
Capsule Repair ◽  
Acetabular Wall

Abstract The aim of this case study is to present arthroscopic treatment of recurrent hip instability after acute post-traumatic posterior hip dislocation with a fracture of the posterior acetabular wall. A male patient aged 35 suffered a dislocation of the right hip joint with a fracture of the posterior acetabular wall due to an accident. The fracture was stabilized during emergency surgery with a locking compression plate, and the patient was released home in a hip brace. Multiple dislocations of the hip joint followed with the implant being confirmed as stable. Decision was made to qualify the patient for a right hip arthroscopy. During the surgery, ligamentum teres was reconstructed using gracilis and semitendinous muscle grafts, followed by the labrum and joint capsule repair, where the surgery that stabilized the acetabular wall fracture had damaged them. There were no complications following the procedure. Short-term follow-up of 3 months demonstrates the patient has a stable hip, reduced pain and has returned to pre-injury activities.

scholarly journals Anterior hip dislocation in conjunction with a stroke: a diagnosis not to miss

2013 ◽  
Vol 2013 (jun18 1) ◽  
pp. bcr2012008356-bcr2012008356 ◽  
Author(s):  
N. Furness ◽  
T. Mendes Da Costa ◽  
M. Bishay
Keyword(s):  
Hip Dislocation ◽  
Anterior Hip Dislocation

Ipsilateral open anterior hip dislocation and avulsion fracture of the greater trochanter: An unusual case report

2019 ◽  
Vol 26 (7) ◽  
pp. 422-425
Author(s):  
M.A. Khalifa ◽  
Z. Alaya ◽  
L. Hassini ◽  
K. Bouattour ◽  
W. Osman ◽  
...  
Keyword(s):  
Case Report ◽  
Unusual Case ◽  
Avulsion Fracture ◽  
Hip Dislocation ◽  
Greater Trochanter ◽  
Anterior Hip Dislocation ◽  
Unusual Case Report

Surgical Hip Dislocation is Safe and Effective Following Acute Traumatic Hip Instability in the Adolescent

2015 ◽  
Vol 35 (5) ◽  
pp. 435-442 ◽  
Author(s):  
David A. Podeszwa ◽  
Adriana De La Rocha ◽  
Annalise N. Larson ◽  
Daniel J. Sucato
Keyword(s):  
Hip Dislocation ◽  
Surgical Hip Dislocation ◽  
Hip Instability
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