TRAUMA-HIP DISLOCATION

SUMMARY

1. Most commonly, the head of the femur dislocates posteriorly.

2. Posterior hip dislocation present(s) with severe hip pain, with hip in flexion, internal rotation, and adduction.

3. Anterior hip dislocation present(s) with severe hip pain, with hip in extension, external rotation, and abduction.

4. Associated injuries: lumbosacral plexopathy, sciatic neuropathy, femoral neuropathy, AVN, OA.

5. Initial management is closed reduction & immobilization; surgery is indicated if closed reduction is unsuccessful.

6. Most clinicians recommend non–weight-bearing for 3-4 wks, followed by protected weight-bearing for an additional 3 wks.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].