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Obturator dislocation of the hip.

A D Toms¹, S Williams, S H White

¹Royal Shrewsbury Hospital, England.

The Journal of Bone and Joint Surgery. British Volume

|March 14, 2001

Summary

Obturator hip dislocations can be irreducible with standard closed reduction. Novel techniques, including open reduction and a specific traction table method, successfully treated these challenging cases, enabling early mobilization.

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Area of Science:

Orthopedic surgery
Traumatology

Background:

Obturator dislocation of the hip is a rare injury.
Closed reduction techniques are typically successful.

Observation:

Two patients presented with irreducible obturator hip dislocations.
Standard closed reduction methods failed in both cases.

Findings:

The first patient underwent open reduction via an iliofemoral approach, releasing the rectus femoris.
The second patient was treated using a traction table with simultaneous lateral traction, adduction, and gradual longitudinal traction release, achieving reduction.
The hip joint demonstrated stability in flexion post-reduction.

Implications:

These cases highlight alternative successful management strategies for irreducible obturator hip dislocations.
Early mobilization using an extension-limiting brace is feasible and avoids prolonged bed rest.
This approach may improve patient outcomes and reduce complications associated with immobility.

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