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[Traumatic hip dislocation with "spontaneous" reposition and re-luxation]
S S Jensen1, J O Wethelund, K Hougaard
1Ortopaedkirurgisk afdeling, Randers Centralsygehus.
Ugeskrift for Laeger
|January 2, 1995
Summary
A multitraumatized patient with a pelvic fracture experienced a spontaneous hip dislocation reduction after surgery. Routine pelvic X-rays are recommended for severely injured patients to detect such injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Diagnostic Imaging
Background:
- Hip dislocations can occur in severe trauma.
- Clinical signs may be absent initially, masking the injury.
Observation:
- A multitraumatized patient presented with an acetabular fracture after a car accident.
- Post-operative X-rays revealed a previously undetected right hip dislocation.
- Computed tomography (CT) confirmed a larger acetabular fracture.
Findings:
- The hip dislocation was successfully reduced.
- The acetabular fracture was treated with osteosynthesis.
- Initial presentation lacked overt signs of hip dislocation.
Implications:
- Routine pelvic X-rays are crucial for severely traumatized patients.
- X-raying the hip in two planes is recommended for unstable traumatic hip injuries.
- Early detection and management of hip dislocations improve outcomes.