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Irreducible posterior hip dislocation in the setting of a multifocal displaced pelvic ring injury: A case report.
Megerian, Mark F; O'Donnell, Edmond F; Saiz, Augustine M; Fitzpatrick, Ellen P; Lee, Mark A; Soles, Gillian L S; Campbell, Sean T.
Afiliação
  • Megerian MF; Case Western Reserve University School of Medicine, Cleveland, OH, United States of America.
  • O'Donnell EF; Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, United States of America.
  • Saiz AM; Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, United States of America.
  • Fitzpatrick EP; Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, United States of America.
  • Lee MA; Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, United States of America.
  • Soles GLS; Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, United States of America.
  • Campbell ST; Department of Orthopaedic Surgery, University of California Davis, Sacramento, CA, United States of America.
Trauma Case Rep ; 45: 100836, 2023 Jun.
Article em En | MEDLINE | ID: mdl-37200771
Case report: Traumatic hip dislocations require prompt diagnosis and reduction to preserve the native joint. The classic irreducible posterior hip fracture-dislocation has been described as an immobile, slightly flexed, and internally rotated hip on physical exam. Classically, this irreducible pattern is associated with an ipsilateral femoral head fracture. The purpose of our report is to present an irreducible posterior hip dislocation with preserved motion in the setting of an unstable pelvic ring injury without associated femoral head pathology. Despite lacking clinical features of an irreducible hip, closed reduction in the emergency and operating rooms was unsuccessful, even after frame application for pelvis stability. Persistent irreducibility necessitated open reduction, where the femoral head was found to be buttonholed through the posterior hip capsule and blocking reduction. Conclusion: A posteriorly dislocated hip with preserved motion in the setting of a concomitant unstable pelvic ring injury may belie the true locked nature of the femoroacetabular dislocation and high suspicion for femoral head incarceration is required. The description of this unique irreducible fracture pattern and the stepwise approach used for reduction may be useful for other surgeons who may encounter similar patterns of injury.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: Trauma Case Rep Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: Trauma Case Rep Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos