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Successful reduction of an obturator hip dislocation using flexion, abduction, and external rotation: a case report
Yudai Yokota1, Tomofumi Nishino2, Tomohiro Yoshizawa2
1Department of Orthopaedic Surgery, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan.
Abstract:
Obturator dislocation of the hip is an extremely rare injury. Urgent closed reduction is critical to prevent complications such as avascular necrosis. We report a rare case of a 52-year-old woman who sustained an obturator dislocation following a motor vehicle collision. Manual reduction was successfully performed under fluoroscopic guidance with the hip positioned in flexion, abduction, and external rotation within 3 h post-injury. The patient followed a staged rehabilitation protocol and recovered well with only mild residual discomfort at 6 months. This case highlights the importance of early diagnosis, prompt reduction, and the utility of alternative reduction strategies when standard techniques fail. Long-term monitoring is advised due to the risk of femoral head collapse and subsequent osteoarthritis.
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