1 / 18

HIP DISLOCATION

HIP DISLOCATION. Dr. Niyaz. Posterior Dislocation. More common than anterior RTA , fall from height. Mechanism of injury.

betty_james
Download Presentation

HIP DISLOCATION

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HIP DISLOCATION Dr.Niyaz

  2. Posterior Dislocation • More common than anterior • RTA , fall from height

  3. Mechanism of injury • Someone seated in a car without fastening seatbelt……in an event of a crash ,…………….. the knee joint strikes the dashboard,…… hip flexes and adducts and ………………dislocates with or without fracture of acetabulum

  4. Attitude • Flexed • Adducted • Shortened • Internal rotated

  5. Associated injuries • Fracture of acetabulum • Fracture head or neck of femur • Shaft of femur • Fracture patella or around knee

  6. investigations • Xray pelvis with both hips • CT scan • USG pelvis and abdomen

  7. treatment • Emergency closed / open reduction

  8. complications Early • Sciatic nerve injury • Vascular injury • Femoral shaft fractures

  9. Complications- late • Avascular necrosis • Myositis ossificans • Unreduced dislocation • osteoarthritis

  10. Anterior dislocation • Rare compared to posterior • Occurs when weight falls on the back of a miner or building labourer • RTA / air crash

  11. Anterior dislocation

  12. Clinical feature • Leg lies abducted, flexed and externally rotated • Femoral head is palpated anteriorly • Two types:-superior type and inferior type

  13. investigation • Xray- ap and lateral view • If any doubt – CT scan

  14. treatment • Longitudinal traction with gradual flexion • Assistant applies lateral pressure to the medial thigh

  15. Central dislocation • Caused by a fall on the side or a blow over the greater trochanter • Causes fracture of acetabular floor

  16. Central dislocation

  17. Thank you

More Related