Anteiror Hip Dislocation

Question 1

What is the MOI?

Answer 1

1. Due to violent injury
   *forces hip into extension, abduction, and external rotation

Question 2

How does the patient present?

Answer 2

1. Patient lies with hip in extension, abduction and external rotation

Question 3

What is on the radiographic findings?

Answer 3

1. Femoral head is inferior to the acetabulum in the region of the obturator foramen
2. Oblique views reveal fracture is anterior

Question 4

What is the treatment for both anterior and posterior hip dislocations?

Answer 4

1. All emergencies and need to be reduced ASAP
2. Repeat X rays post reduction for monitoring
   *bony fragments must be removed
3. After reduction use crutches WBAT (Weight bearing as tolerated) until pain free (2-4 weeks) then cane until limp free