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Dislocation, Hip, Posterior, Sports Medicine

Greg Nakamoto, MD, FACP Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Hip dislocations can be congenital or traumatic and can occur in native hips or after total hip arthroplasty.

  • The remainder of this topic is dedicated to the evaluation and management...

DIAGNOSIS

HISTORY

  • Mechanism: can help guide the search for associated visceral and orthopedic injuries

  • Position at time of injury: Simple posterior dislocation most commonly occurs with force on a flexe...

TREATMENT

  • Prehospital:

    • Patients suffering a high-energy trauma sufficient to cause a hip dislocation commonly have associated injuries that take precedence for overall patient stabilization:

      • Establish a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Given the high-energy mechanism of injury, most patients require admission, often to a trauma service, for continued evaluation and treatment of associated injuri...

REFERENCES

1
Beebe MJ, Bauer JM, Mir HR. Treatment of hip dislocations and associated injuries: current state of care. Orthop Clin North Am.  2016;47(3):527–549.
2
Mandell JC, Marshall RA, Weaver MJ...

ADDITIONAL READING

  • Dumont GD. Hip instability: current concepts and treatment options. Clin Sports Med.  2016;35(3):435–447.

  • Stein MJ, Kang C, Ball V. Emergency department evaluation and treatment...

CLINICAL PEARLS

  • Of primary concern when evaluating the patient with a posterior hip dislocation is the attainment of early reduction (within 6 hr) to prevent long-term sequelae and the search for addi...

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