[Traumatic hip dislocation with "spontaneous" reposition and re-luxation].
A case of traumatic hip dislocation with spontaneous reduction of the hip joint is presented. The patient was involved in a car accident, and characterized as multitraumatized. On admission to the Emergency Department there were no clinical signs of traumatic hip-dislocation, but because of the severity of the trauma an X-ray of the pelvis was performed and a fracture of the acetabulum diagnosed. The patient was taken to the operating theatre for surgery of several fractures of both upper and lower extremities. This was followed by control X-rays including both anterior-posterior and lateral views of the right hip. This demonstrated that the right hip was now dislocated. The dislocation was reduced. CT showed a larger fracture of the acetabulum, and this was treated with osteosynthesis. Patients with an unstable hip due to trauma, should as a general rule have the hip X-rayed in two planes. It is further suggested that in cases of severely traumatized patients X-ray of the pelvis should be routinely performed.
Ortopaedkirurgisk afdeling, Randers Centralsygehus.
S S
SS
Jensen
J O
JO
Wethelund
K
K
Hougaard
D000063:Accidents, Traffic; D000077:Acetabulum / Q000293:injuries; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence
Traumatisk hofteluksation med "spontan" reposition og reluksation.