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Jlidi M, Bouaicha W, Mallek K, Gharbi MH, Jaziri S, Daas S. A rare concomitant ipsilateral hip and knee dislocations: A case report and review of the literature. SAGE Open Med Case Rep 2024; 12:2050313X241233199. [PMID: 38410690 PMCID: PMC10896048 DOI: 10.1177/2050313x241233199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 01/29/2024] [Indexed: 02/28/2024] Open
Abstract
Ipsilateral hip and knee dislocation is a rare and complex injury that usually results from high-energy trauma. Only 14 cases were reported in the literature so far. We report the case of a 35-year-old man who presented with an ipsilateral right hip and knee dislocation after being involved in a road traffic accident. A contralateral floating knee was associated. The hip dislocation was associated to a posterior wall fracture of the acetabulum and a femoral head fracture. The knee dislocation was compound and associated with a patella fracture. The hip dislocation was reduced. The posterior wall and the femoral head fractures were treated conservatively. The knee dislocation was reduced and stabilized by external fixator. Early postoperative infection occurred and was treated surgically. At the last follow-up, the knee was ankylosed at 5° of flexion with a bony bridge between the femoral condyle and the tibial plateau. The patient described an occasional hip pain on exertion. He had full range of motion of the right hip. No avascular necrosis of the femoral head was seen. Outcomes of simultaneous hip and knee dislocation are very variable and remain unpredictable. The timing of reducing the hip joint and the knee.
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Affiliation(s)
- Mohamed Jlidi
- Orthopedics and Traumatology Department, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Walid Bouaicha
- Orthopedics and Traumatology Department, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Karim Mallek
- Orthopedics and Traumatology Department, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
| | - Mohamed Hedi Gharbi
- Orthopedics and Traumatology Department, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
| | - Salma Jaziri
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
- Department of Anesthesia and Intensive Care, Mohamed Bourguiba Hospital, El Kef, Tunisia
| | - Selim Daas
- Orthopedics and Traumatology Department, Mohamed Taher Maamouri Hospital, Nabeul, Tunisia
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
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Xu Y, Lv M, Yu SQ, Liu GP. Closed reduction of hip dislocation associated with ipsilateral lower extremity fractures: A case report and review of the literature. World J Clin Cases 2022; 10:12654-12664. [PMID: 36579117 PMCID: PMC9791526 DOI: 10.12998/wjcc.v10.i34.12654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 10/17/2022] [Accepted: 11/11/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Traumatic hip dislocation usually occurs following high-velocity trauma. It is imperative that the dislocation be reduced in a timely manner, especially in a closed manner, as an orthopedic emergency. However, closed reduction can hardly be achieved in patients who also have ipsilateral lower extremity fractures. Herein, we focus on hip dislocation associated with ipsilateral lower extremity fractures, excluding intracapsular fractures (femoral head and neck fractures), present an early closed hip joint reduction method for this injury pattern, and review the literature to discuss the appropriate closed reduction technique for this rare injury pattern.
CASE SUMMARY We report a case of a 37-year-old male who sustained a left acetabular posterior wall fracture, an ipsilateral comminuted subtrochanteric fracture and dislocation of the hip. The hip dislocation was reduced urgently in a closed manner using the joy-stick technique with a T-shaped Schanz screw. The fractures were reduced and fixed as a 2nd-stage surgery procedure. At the 17-month postoperative follow-up, the patient had full range of motion of the affected hip.
CONCLUSION Closed reduction of a hip dislocation associated with ipsilateral lower extremity fractures is rarely achieved by regular maneuvers. Attempts at closed reduction, by means of indirectly controlling the proximal fracture fragment or reconstructing the femoral leverage rapidly with the aid of various external reduction apparatuses, were shown to be effective in some scenarios. Mandatory open reduction is indicated in cases of failed closed reduction, particularly in irreducible dislocations.
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Affiliation(s)
- Yong Xu
- Department of Orthopaedics, Chengdu Second People’s Hospital, Chengdu 610000, Sichuan Province, China
| | - Ming Lv
- Department of Orthopaedics, Zibo Central Hospital, Shandong University, Zibo 255000, Shandong Province, China
| | - Shu-Qiang Yu
- Department of Orthopaedics, The Fourth People's Hospital of Zibo, Zibo 255000, Shandong Province, China
| | - Guang-Ping Liu
- Department of Orthopaedics, Zibo Central Hospital, Shandong University, Zibo 255000, Shandong Province, China
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Rizkallah M, Melhem E, Abid H, Boillot F, Jouffroy P, Riouallon G. Knee injuries concomitant to posterior acetabular fractures: an association to look for. INTERNATIONAL ORTHOPAEDICS 2020; 45:247-251. [PMID: 33244635 DOI: 10.1007/s00264-020-04885-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 11/17/2020] [Indexed: 11/25/2022]
Abstract
PURPOSE Acetabular fractures are frequently associated with other skeletal injuries, particularly knee injuries. This study aims to evaluate the relationship between posterior acetabular fractures and knee injury, analyzing its patterns and association with other injuries. METHODS This is a retrospective monocentric study in a tertiary referral centre. We reviewed the data (age, sex, type of fracture, and concomitant injury) of patients hospitalized for a posterior acetabular fracture. We recorded concomitant knee injury diagnosed up to one year following acetabular fracture. RESULTS Two-hundred-seventeen patients (177 males/40 females) were included. The mean age was 40.5 years. Eighty-five patients (39%) had a concomitant hip dislocation, nine (4.1%) had sciatic nerve palsy, 17 (7.8%) had upper extremity injury, and 18 (8.3%) had lower extremity injury (other than the knee). Eight (3.7%) patients had spine injury, 11 (5.1%) had severe thoracic injury, nine (4.1%) had an abdominal injury, and four (1.8%) had a head injury. There were 33 (15.21%, 95% CI 10.80-20.8%) patients (30 M/3 F) (group 1) with a concomitant knee injury and 184 patients without a concomitant knee injury(group 2). The mean age in group 1 was 34.3 compared to 45.4 in group 2(p = 0.021). The pattern analysis revealed five fractures, 14 ligamentous injuries (PCL injuries = 68%), and 14 soft tissue injuries. Sixteen (48.48%) injuries were identified during hospitalization and 17 (51.51%) during follow-up. There were an association between knee injury and upper extremity injury (OR = 3.49 95% CI 1.12-10.00,p = 0.022) and other lower extremity injury (OR = 3.18 95% CI 1.03-8.95,p = 0.032). DISCUSSION Knee injury is the second most frequent lesion associated with posterior acetabular fractures. Being missed in half of cases, we recommend a systematic examination of ipsilateral knees under general anaesthesia, keeping a high index of suspicion and a low threshold for complementary knee imaging. Knee injury should be mainly looked for in patients younger than 60 years and in those with upper and/or lower extremities injuries.
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Affiliation(s)
- Maroun Rizkallah
- Orthopedic Surgery Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
- Faculty of Medicine, University of Paris, Alliance Sorbonne-Paris-Cité, Paris, France.
| | - Elias Melhem
- Orthopedic Surgery Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France
| | - Hichem Abid
- Orthopedic Surgery Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France
- Faculty of Medicine, University of Paris, Alliance Sorbonne-Paris-Cité, Paris, France
| | - Francois Boillot
- Orthopedic Surgery Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France
| | - Pomme Jouffroy
- Orthopedic Surgery Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France
| | - Guillaume Riouallon
- Orthopedic Surgery Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France
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Kumar P, Agarwal S, Rajnish RK, Aggarwal S, Kumar V, Jindal K. Ipsilateral Posterior Cruciate Ligament Insertion Avulsion and Femoral Head Fracture Without Dislocation: A Rarest of Rare Dashboard Injury and Principles of Management: A Case Report. JBJS Case Connect 2019; 9:e0245. [PMID: 31584902 DOI: 10.2106/jbjs.cc.18.00245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CASE A 25-year-old man presented with posterior cruciate ligament (PCL) avulsion and ipsilateral fracture of the femoral head after sustaining a dashboard injury. The hip was not dislocated on presentation, and there were no other injuries; he was managed operatively for both. His hip and knee healed well, with good functioning at 15 months of follow-up. CONCLUSIONS Dashboard injuries can cause simultaneous knee and hip injuries, usually PCL and posterior hip dislocation. This case report identifies a specific pattern of tibial avulsion fracture of the PCL combined with femoral head fracture with no dislocation at presentation. The good outcome achieved at 15 months indicates that standard treatment of open reduction and internal fixation for both fractures can provide good clinical results in this severe combination injury pattern.
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Affiliation(s)
- Prasoon Kumar
- Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Arenas Miquelez A, Familiari F, Arbeloa L, D'Arrigo Azzarelli A. Simultaneous Ipsilateral Dislocation of the Hip and the Knee: A Case Report. JBJS Case Connect 2017; 7:e85. [PMID: 29286969 DOI: 10.2106/jbjs.cc.17.00036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
CASE A patient was struck by an agricultural vehicle and sustained ipsilateral hip and knee dislocations. Closed reduction of the hip was accomplished in the emergency department; the patient required general anesthesia in the operating room to reduce the knee dislocation. Nonoperative treatment was used for both injuries, with a good long-term outcome. CONCLUSION Simultaneous ipsilateral hip and knee dislocations are rare and complex injuries that usually result from high-energy trauma. In order to avoid severe neurovascular complications, they need prompt management. Nonoperative treatment followed by an intensive rehabilitation program should be considered as an alternative treatment to surgery in older patients with a low-demand lifestyle.
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Affiliation(s)
- Antonio Arenas Miquelez
- Department of Trauma and Orthopaedic Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain
| | - Filippo Familiari
- Department of Orthopaedic Surgery, Magna Graecia University of Catanzaro, Catanzaro, Italy
| | - Lucas Arbeloa
- Department of Trauma and Orthopaedic Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain
| | - Andrea D'Arrigo Azzarelli
- Department of Trauma and Orthopaedic Surgery, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain
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Beebe MJ, Bauer JM, Mir HR. Treatment of Hip Dislocations and Associated Injuries: Current State of Care. Orthop Clin North Am 2016; 47:527-49. [PMID: 27241377 DOI: 10.1016/j.ocl.2016.02.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Hip dislocations, most often caused by motor vehicle accidents or similar high-energy trauma, traverse a large subset of distinct injury patterns. Understanding these patterns and their associated injuries allows surgeons to provide optimal care for these patients both in the early and late postinjury periods. Nonoperative care requires surgeons to understand the indications. Surgical care requires the surgeon to understand the benefits and limitations of several surgical approaches. This article presents the current understanding of hip dislocation treatment, focusing on anatomy, injury classifications, nonoperative and operative management, and postinjury care.
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Affiliation(s)
- Michael J Beebe
- Orthopaedic Trauma Service, Florida Orthopaedic Institute, 5 Tampa General Circle, Suite 710, Tampa, FL 33602, USA
| | - Jennifer M Bauer
- Orthopaedic Surgery and Rehabilitation, Vanderbilt University, 1215 21st Avenue South, South Tower, Suite 4200, Nashville, TN 37232, USA
| | - Hassan R Mir
- Orthopaedic Trauma Service, Florida Orthopaedic Institute, 5 Tampa General Circle, Suite 710, Tampa, FL 33602, USA.
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Abstract
OBJECTIVES The purpose of this study was to determine the incidence and pattern of the knee injury associated with acetabular fractures. DESIGN Retrospective cohort study. SETTING Three level I and one level II trauma centers. PATIENTS A total of 1273 skeletally mature patients treated at 4 trauma centers between November 2004 and December 2013 for acetabular fractures were retrospectively identified from orthopaedic trauma databases. INTERVENTION Analysis of all acetabular fractures with knee injury regarding type of acetabular fracture, mechanism of injury, energy of injury, pattern of the knee injury, knee examination findings at initial presentation, intraoperative and on follow-up, requirement for surgery/conservative management, and the associated injuries. The clinical data entered during inpatient stay and office visits were analyzed. MAIN OUTCOME MEASURES Incidence and pattern of the knee injury. RESULTS One hundred ninety-three of 1273 patients (15%) were found to have ipsilateral knee symptoms within a period of 1 year from the date of injury. The patterns of knee injury included 56 fractures (29%), 49 ligamentous lesions (25%), and 88 miscellaneous (46%) causes including bone bruises, wounds, and swelling. Associated injuries included 85 patients with ipsilateral hip dislocation (45%), 59 pelvic injuries (31%), 61 extremity injuries (32%), 38 head injuries (20%), 37 chest injuries (20%), 23 abdominal and genitourinary injuries (12%), and 7 injuries of the spine (4%). CONCLUSION Based on this study, we conclude that knee injuries associated with high-energy acetabular fractures constitute a significant portion of the patient population. Ligament injuries are frequently overlooked and thorough clinical evaluation and utilization of magnetic resonance imaging in selected cases will help in early detection and prevention of long-term complications. LEVEL OF EVIDENCE Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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Ipsilateral hip and knee dislocation: Case report and review of literature. J Clin Orthop Trauma 2016; 7:115-21. [PMID: 27182149 PMCID: PMC4857168 DOI: 10.1016/j.jcot.2016.02.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Accepted: 02/16/2016] [Indexed: 10/22/2022] Open
Abstract
Hip and knee dislocations are not uncommon but simultaneous ipsilateral dislocation of the hip and knee joint is rare; consequently, there is an inadequate amount of literature on the subject. We identified only 11 such cases reported in English literature. In the present report, we describe the case of a 23-year-old male patient who presented with ipsilateral hip and knee dislocation on the right side after being involved in a road traffic accident. The hip dislocation was associated with a posterior wall acetabular fracture. The hip as well as the knee joints was reduced in the emergency bay. The patient underwent an urgent fixation of the posterior wall acetabular fracture with delayed ligament reconstruction for the knee dislocation. At one-year follow-up, he had no pain in the hip or knee. There was grade 1 posterior sag but no symptoms of knee instability. Radiographs revealed no evidence of avascular necrosis or arthritis of the femoral head. The normal treatment protocol for individual injury is affected by the simultaneous occurrence of hip and knee dislocation.
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Huang HC, Fu CY, Hsieh CH, Wang YC, Wu SC, Chen RJ, Huang JC. Lodox/Statscan facilitates the early detection of commonly overlooked extracranial injuries in patients with traumatic brain injury. Eur J Trauma Emerg Surg 2012; 38:319-26. [PMID: 26815965 DOI: 10.1007/s00068-012-0176-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2011] [Accepted: 12/31/2011] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Traumatic brain injury (TBI) is a common diagnosis in the emergency department. Brain computed tomography (CT) has become a standard diagnostic tool with which to examine TBI patients. Conventional X-rays are ineffective for the evaluation of torso or extremity injuries. In the current study, we attempted to establish a diagnostic modality to evaluate systemically initially unconscious patients in the emergency department with a rapid screening technique characterized by sufficient information, low cost and low radiation exposure. MATERIALS AND METHODS From January 2008 to December 2009, patients with diminished level of consciousness received the Lodox/Statscan for evaluation of extracranial injuries were enrolled in this study. The accuracy of this diagnostic modality in detecting torso or extremity injuries in initially unconscious patients was analyzed by comparing the initial diagnosis (by the Lodox/Statscan) with the final diagnosis (confirmed by torso CT scan or after two weeks of follow-up). RESULTS There were 1,210 patients with TBI whose extracranial injuries were evaluated by the Lodox/Statscan. After excluding intra-abdominal injuries, the overall sensitivity rates of the Lodox/Statscan in diagnosing torso injuries and extremity injuries were 89.7% and 90.2%, respectively. No long bone fracture was missed by the Lodox/Statscan. The sensitivity and specificity of the Lodox/Statscan in diagnosing long bone fractures were both 100%. Most patients with torso injuries that were missed by the Lodox/Statscan could be managed conservatively without further treatment or complications. All of the missed extremity injuries were distal bone fractures. CONCLUSION The Lodox/Statscan can provide benefits for surveying extracranial injuries in patients with diminished level of consciousness. The Lodox/Statscan also emits a notably low dose of radiation and appears to be a relatively inexpensive adjunct to screen torso or extremity injuries in TBI patients.
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Affiliation(s)
- H-C Huang
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
- Trauma and Emergency Surgery Department, Taipei Medical University, Wan Fang Hospital, No. 111, Section 3, Hsing Long Rd, Taipei, 116, Taiwan, ROC.
| | - C-Y Fu
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
- Trauma and Emergency Surgery Department, Taipei Medical University, Wan Fang Hospital, No. 111, Section 3, Hsing Long Rd, Taipei, 116, Taiwan, ROC.
| | - C-H Hsieh
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
| | - Y-C Wang
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
- Trauma and Emergency Surgery Department, Taipei Medical University, Wan Fang Hospital, No. 111, Section 3, Hsing Long Rd, Taipei, 116, Taiwan, ROC.
| | - S-C Wu
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
| | - R-J Chen
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
- Trauma and Emergency Surgery Department, Taipei Medical University, Wan Fang Hospital, No. 111, Section 3, Hsing Long Rd, Taipei, 116, Taiwan, ROC.
| | - J-C Huang
- Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404, Taiwan, ROC.
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Clegg TE, Roberts CS, Greene JW, Prather BA. Hip dislocations--epidemiology, treatment, and outcomes. Injury 2010; 41:329-34. [PMID: 19796765 DOI: 10.1016/j.injury.2009.08.007] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2009] [Accepted: 08/05/2009] [Indexed: 02/02/2023]
Abstract
Traumatic dislocations of the hip appear to be on the rise in North America. Multidetector CT, hip arthroscopy, and high field MRI have further defined the pathoanatomy of hip dislocations. They can be divided into simple and complex dislocations. At the University of Louisville, an algorithm has been developed to facilitate rapid and accurate diagnosis and treatment of simple hip dislocations. In contrast to the treatment of simple hip dislocations, the treatment of complex hip dislocations (fracture-dislocations) is generally predicated on specific treatments of the associated fracture (e.g., femoral head fracture, femoral neck fracture, acetabular fracture, etc.). This review includes the mechanism of injury, epidemiology, associated injuries, evaluation, treatment, and functional outcomes of simple hip dislocations.
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Affiliation(s)
- Travis E Clegg
- Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, KY 40202, USA
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Traumatic bilateral knee dislocations, unilateral hip dislocation, and contralateral humeral amputation: a case report. HSS J 2009; 5:40-4. [PMID: 19052715 PMCID: PMC2642548 DOI: 10.1007/s11420-008-9100-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2008] [Accepted: 10/22/2008] [Indexed: 02/07/2023]
Abstract
Bilateral traumatic knee dislocations are a rarity. We report a case of bilateral traumatic knee dislocations with concomitant right hip dislocation and complete traumatic amputation of the left, nondominant upper extremity at the level of the proximal one-third of the humerus. Angiograms revealed no evidence of popliteal artery injury. Orthopedic treatment consisted of immediate reduction of the dislocations and urgent revision amputation of the upper extremity. Staged, bilateral knee ligamentous reconstructions were performed on hospital days 24 and 29, respectively. Despite this constellation of devastating injuries, the patient had a satisfactory outcome. In patients with high-energy hip or knee dislocations, the bilateral hips and knees should be carefully examined to check for associated fractures and/or dislocations.
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12
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Abstract
We describe an unusual sports injury in a young man, a combination of obturator hip dislocation with an ipsilateral anterior cruciate ligament injury. Traumatic non-prosthetic hip dislocations, particularly obturator hip dislocations, are extremely rare sports injuries and have not previously been reported in conjunction with a knee ligament injury. The severe pain and obvious deformity from the hip injury can distract from other injuries, particularly to the ipsilateral knee. This case reinforces the need for a thorough assessment of the knee joint, before hip reduction if possible and certainly after reduction of the dislocation.
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Affiliation(s)
- S J Croft
- Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, South Yorkshire, UK.
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13
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DuBois B, Montgomery WH, Dunbar RP, Chapman J. Simultaneous ipsilateral posterior knee and hip dislocations: case report, including a technique for closed reduction of the hip. J Orthop Trauma 2006; 20:216-9. [PMID: 16648704 DOI: 10.1097/00005131-200603000-00009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
In isolation, dislocations of the hip and knee require emergent reduction to minimize the risks of serious complications, including vascular and neurologic injury, osteonecrosis of the femoral head, and loss of motion and function. With simultaneous dislocation of the ipsilateral hip and knee, as in the situation of hip dislocation with concomitant femoral shaft fracture, reduction of the hip may prove difficult because of the inability to control the femoral segment. In this setting, general anesthesia is commonly required. We present the case of a patient who sustained an ipsilateral hip and knee dislocation who underwent closed reduction of the knee in the emergency department but required general anesthesia and the insertion of Schanz pins in the femur to reduce the hip dislocation.
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Affiliation(s)
- Ben DuBois
- Grossmont Orthopaedic Medical Group, La Mesa, CA, USA
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Singh KJ, Ahluwalia R, Sinha AK. Hip and Knee Dislocation in the Same Patient : A Case Report. Med J Armed Forces India 2003; 59:154-6. [PMID: 27407495 DOI: 10.1016/s0377-1237(03)80068-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- K J Singh
- Graded Specialist (Surgery), 153 General Hospital, C/o 56 APO
| | - Rds Ahluwalia
- Classified Specialist (Anaesthesiology), 153 General Hospital, C/o 56 APO
| | - A K Sinha
- Commanding Officer, 153 General Hospital, C/o 56 APO
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