Anteromedial (perineal) dislocation of the hip: a case report

Anteromedial (perineal) dislocation of the hip is rare. The authors describe the case of a 13-year-old girl whose femoral head was dislocated into the vagina as a result of a motor vehicle accident. The hip could not be reduced by traction but was pushed through the vagina with moderate ease. When the patient was placed in the lithotomy position, the hip redislocated and further reduction was required. The vagina and soft tissues were repaired and the hip joint was irrigated and closed over a drain. Antibiotics were given for 10 days. The girl recovered completely.