hip dislocation

Question 1

complications from hip dislocation?

Answer 1

avascular necrosis of femoral head, femoral head/neck fx, acetabular fx, neurovascular injury, DVT

Question 2

how would posterior hip dislocation occur and what’s the presentation?

Answer 2

they occur with patient’s hip and knee flexed and adducted hip (dashboard injury)

present with pain, limited ROM, inability to bear weight, hip is flexed, internally rotated and adducted

Question 3

management of posterior hip dislocation?

Answer 3

follow trauma protocol
-do closed reduction to prevent avascular necrosis of femoral head UNLESS there’s femoral neck/head/acetabulum fx -> do ORIF instead

Question 4

where is the force directed in anterior hip dislocation? how they present?

Answer 4

force directed at femur with hip and knee flexed and hip is abducted and externally rotated

present with pain, limited ROM, and inbility to bear weight and the hip is externally rotated, flexed, and abducted

Question 5

management of anterior hip dislocation?

Answer 5

trauma protocol
-do closed reduction right away to prevent avascular necrosis of femoral head UNLESS there’s femoral neck/head/ acetabulum fx then do ORIF