Hip dislocation

Question 1

What are the main types of hip dislocation?

Answer 1

Posterior
Anterior

Question 2

What is the more common type of hip dislocation?

Answer 2

Posterior hip dislocation

Question 3

How can a posterior hip dislocation present?

Answer 3

Shortened, adducted, and internally rotated.

Question 4

How can anterior hip dislocation present?

Answer 4

Abducted and externally rotated
No leg shortening

Question 5

What is the management of a hip dislocation?

Answer 5

A reduction under general anaesthetic within 4 hours

Question 6

Why is a hip dislocation reduced in under 4 hours?

Answer 6

To limit the risk of avascular necrosis

Question 7

What is the long term management of a hip dislocation?

Answer 7

Physiotherapy to strengthen the surrounding muscles.

Question 8

What is the main complication of a hip dislocation?

Answer 8

Sciatic or femoral nerve injury

Question 9

What are the other possible complications of a hip dislocation?

Answer 9

Avascular necrosis
Osteoarthritis
Recurrent dislocation

Question 10

How long can it take for a dislocated hip to heal?

Answer 10

2 to 3 months for the hip to heal after a traumatic dislocation

Question 11

When is the prognosis best for a dislocated hip?

Answer 11

When the hip is reduced less than 12 hours post-injury