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Inferior Hip Dislocation in a 60-Year-Old Man; a Case Report
Ali Yeganeh1, Nader Tavakoli1, Mohammad Soleimani2
1Trauma and Injury Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Archives of Academic Emergency Medicine
|April 11, 2022
Summary
Inferior hip dislocation, a rare injury, requires prompt reduction to prevent complications. This case highlights successful management of luxatio erecta femoris after a car-motorcycle accident.
Area of Science:
- Orthopedics
- Trauma Surgery
Background:
- Inferior hip dislocation (luxatio erecta femoris) is exceptionally rare.
- Prompt reduction is critical to prevent avascular necrosis and other complications.
Observation:
- A 60-year-old male sustained an inferior hip dislocation after a car-motorcycle collision.
- The patient presented with the hip in flexion, abduction, and external rotation, with severe pain and limited mobility.
Findings:
- Initial closed reduction under procedural sedation failed.
- Successful closed reduction was achieved under general anesthesia.
- The patient recovered with pin traction and crutches, with full weight-bearing permitted after two weeks.
Implications:
- This case underscores the importance of timely orthopedic intervention for rare hip dislocations.
- Successful management can lead to good functional recovery, even after initial reduction challenges.
- Further research into optimal management strategies for luxatio erecta femoris is warranted.
