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Updated: Nov 26, 2025

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Published on: February 10, 2023
Anterior hip dislocation complicated by thrombus in the common femoral vein: A case report
James D Dieterich1, Carlos L Benitez2, Zoe B Cheung1
1Department of Orthopaedic Surgery, Mount Sinai West Hospital, New York, NY, United States of America.
Case:
A 90-year-old male sustained a low energy anterior hip dislocation without fracture after a ground-level fall. Magnetic resonance imaging (MRI) detected femoral vessel compression and thrombosis. The patient underwent placement of an inferior vena cava (IVC) filter prior to successful closed reduction in the operating room.
Conclusion:
Anterior hip dislocations are rare events that require urgent intervention to reduce the risk of complications. One underreported complication is femoral vessel thrombosis from direct compression against the femoral head. Dedicated imaging should be considered to rule out a thrombus. An IVC filter can be placed prior to reduction attempts to avoid potential thrombotic emboli.
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