title: Inferior hip dislocation after falling from height: A case report.
abstract: BACKGROUND
  Traumatic inferior hip dislocation is the least common of all hip dislocations. Adult inferior hip dislocations usually occur after high-energy trauma, very few cases are reported without fracture.
  
  
  METHODS
  A 26-year-old female was brought to the emergency department with severe pain in the left hip, impaired posture and restricted movement following a fall from 15m height. The hip joint was fixed in 90° flexion, 15° abduction, and 20° external rotation. No neurovascular impairment was determined. On radiologic examination, a left ischial type inferior hip dislocation was detected. Hemorrhagic shock which developed due to acute blood loss to thoracic and abdominal cavity and patient died at third hour after she was brought to the hospital.
  
  
  CONCLUSIONS
  Traumatic hip dislocations have high morbidity and mortality rates due to multiple organ damage, primarily of the extremities, chest and abdomen. In the treatment of traumatic hip dislocation, closed reduction is recommended through muscle relaxation under general anesthesia or sedation. This procedure should be applied before any intervention for concomitant extremity injuries. A detailed evaluation on emergency presentation, a multi-disciplinary approach and early diagnosis with the rapid application of imaging methods could be life-saving for such patients.
authors.affiliation: Department of Orthopaedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey. Electronic address: cagrtekin@yahoo.com.
authors.forename: Ali Çağrı
authors.initials: AÇ
authors.lastname: Tekin
authors.affiliation: Department of Orthopaedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey. Electronic address: halukcabuk@hotmail.com.
authors.forename: Haluk
authors.initials: H
authors.lastname: Çabuk
authors.affiliation: Department of Orthopaedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey. Electronic address: cemdincay@yahoo.com.
authors.forename: Cem Dinçay
authors.initials: CD
authors.lastname: Büyükkurt
authors.affiliation: Department of Orthopaedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey. Electronic address: s.semih.dedeoglu@gmail.com.
authors.forename: Süleyman Semih
authors.initials: SS
authors.lastname: Dedeoğlu
authors.affiliation: Department of Orthopaedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey. Electronic address: yunusimren@gmail.com.
authors.forename: Yunus
authors.initials: Y
authors.lastname: İmren
authors.affiliation: Department of Orthopaedics and Traumatology, Okmeydanı Training and Research Hospital, Istanbul 34384, Turkey. Electronic address: hakangurbuzmd@yahoo.com.
authors.forename: Hakan
authors.initials: H
authors.lastname: Gürbüz
keywords: Fall from height; Inferior hip dislocation