HIP DISLOCATION Dr Niyaz Posterior Dislocation More common

  • Slides: 18
Download presentation
HIP DISLOCATION Dr. Niyaz

HIP DISLOCATION Dr. Niyaz

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

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

Mechanism of injury • Someone seated in a car without fastening seatbelt……in an event

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

Attitude • • Flexed Adducted Shortened Internal rotated

Attitude • • Flexed Adducted Shortened Internal rotated

Associated injuries • • Fracture of acetabulum Fracture head or neck of femur Shaft

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

investigations • Xray pelvis with both hips • CT scan • USG pelvis and

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

treatment • Emergency closed / open reduction

treatment • Emergency closed / open reduction

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

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

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

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

Anterior dislocation • Rare compared to posterior • Occurs when weight falls on the

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

Anterior dislocation

Anterior dislocation

Clinical feature • Leg lies abducted, flexed and externally rotated • Femoral head is

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

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

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

treatment • Longitudinal traction with gradual flexion • Assistant applies lateral pressure to the

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

Central dislocation • Caused by a fall on the side or a blow over

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

Central dislocation

Central dislocation

Thank you

Thank you

Shoulder Dislocation s Shoulder dislocation 1 DISLOCATION COMPLETEShoulder Dislocation s Shoulder dislocation 1 DISLOCATION COMPLETE
Congenital dislocation of the Hip Developmental dislocation ofCongenital dislocation of the Hip Developmental dislocation of
POSTERIOR PITUITARY GLAND POSTERIOR PITUITARY HORMONES Posterior pituitaryPOSTERIOR PITUITARY GLAND POSTERIOR PITUITARY HORMONES Posterior pituitary
SURGICAL HIP DISLOCATION By Sabrina Cerciello SURGICAL HIPSURGICAL HIP DISLOCATION By Sabrina Cerciello SURGICAL HIP
HIP HOPAS HIP HOPas Hip Hopas gatvs siliausHIP HOPAS HIP HOPas Hip Hopas gatvs siliaus
Hip Low Back Hip Anatomy Bones Hip AnatomyHip Low Back Hip Anatomy Bones Hip Anatomy
More more I want more More More MoreMore more I want more More More More
More Tooth Identification Posterior Posterior Maxillary First PremolarMore Tooth Identification Posterior Posterior Maxillary First Premolar
Dislocations z Basic concepts yedge dislocation yscrew dislocationDislocations z Basic concepts yedge dislocation yscrew dislocation
DISLOCATION STRESS FIELDS q Dislocation stress fields infiniteDISLOCATION STRESS FIELDS q Dislocation stress fields infinite
DISLOCATION MOVEMENT Because a dislocation represents the boundaryDISLOCATION MOVEMENT Because a dislocation represents the boundary
Acute Shoulder Dislocation Surgery Acute anterior dislocation ofAcute Shoulder Dislocation Surgery Acute anterior dislocation of
Patellar Dislocation What is Patellar Dislocation The causePatellar Dislocation What is Patellar Dislocation The cause
HIP AND THIGH Common Injuries STRAINS Quad HipHIP AND THIGH Common Injuries STRAINS Quad Hip
HIP AND THIGH Common Injuries STRAINS Quad HipHIP AND THIGH Common Injuries STRAINS Quad Hip
chapter 24 Hip Hip A common site forchapter 24 Hip Hip A common site for
Congenital Hip Dislocation Introduction THA in the DDHCongenital Hip Dislocation Introduction THA in the DDH