Radiologic classification of posterior dislocations of the hip: refinements and pitfalls.
Seventeen traumatic hip dislocations seen during a 15-month period were evaluated. In 10 of the 14 cases of posterior hip dislocation, the final Thompson-Epstein classification differed from the initial radiographic classification. Dislocations of the hip often result in radiographically obscure femoral head and acetabular damage. High quality radiographs with oblique and coned-down views are of substantial aid in evaluating the dislocated hip. After closed reduction of a dislocated hip, further views and tomography are helpful but diagnostic pitfalls exist. A persistently widened hip joint, even with negative plain films and tomography, indicates possible intra-osteochondral debris or incompletely reduced femoral head fragments.
D000293:Adolescent; D000328:Adult; D005264:Femoral Fractures / Q000000981:diagnostic imaging*; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging; D005270:Femur Head / Q000000981:diagnostic imaging; D006617:Hip Dislocation / Q000145:classification / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D014056:Tomography, X-Ray; D014947:Wounds and Injuries / Q000150:complications