Traumatic Obturator Dislocation of the Hip Joint Associated with Greater Trochanter Fracture: A Case Report

Obturator dislocations of the hip associated with pelvic ring injuries: Case report and review of the literature

Case

An obturator hip dislocation with an associated open book pelvic ring injury is an extremely rare injury pattern. This case report will discuss challenges to closed reduction, acute management strategies and review the literature on combined hip dislocations and open book pelvic ring injuries.

Conclusion

This injury pattern presents unique reduction challenges that should be recognized early in order to provide effective resuscitation and preserve the femoral head blood supply. Failing to close reduce the hip delays reducing the pelvic ring volume because sheets and binders are precluded from working effectively.

Traumatic obturator dislocation of the hip joint: About 2 cases and review of the literature

Introduction

Traumatic dislocation of the hip is a serious lesion, and its obturator variety is rarely reported. It always reflects a high-energy trauma and represents a therapeutic emergency that requires a reduction in less than 6 h due to the risk of aseptic necrosis of the femoral head in the long term.

Case report

We reported 2 cases of hip obturator dislocation in patients aged 21 and 45 years respectively, which occurred following a road accident, received for pain and functional impairment of the hip, and in a typical attitude with hip flexion, abduction, rotation and knee flexion with no downstream limb vascular-nervous injury. The emergency reduction in <6 h, in two cases, followed by functional treatment by offloading for 8 weeks and support of the limb with the resumption of walking had been authorized at 3 months with a return to sport at 16 weeks; made it possible to obtain satisfactory results at 18 months of follow-up, with an absence of a functional gene, stiffness and without signs of necrosis of the femoral head.

Discussion and conclusion

Traumatic obturator dislocation of the hip constitutes serious lesions and requires early and appropriate management, reduced to closed focus, treated functionally give excellent results in the medium term. The patient must be carefully monitored over the long term and be warned of the risks he runs.

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Traumatic obturator hip dislocation is a serious lesion and rarely reported.

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Therapeutic emergency requires a reduction < 6 h because the long-term prognosis of the femoral head is strongly linked.

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Simple unloading of the limb without transosseous traction provides excellent medium-term outcomes.

Inferior Hip Dislocation in a 60-Year-Old Man; a Case Report

Inferior hip dislocation or luxatio erecta femoris is among the rarest hip dislocations, which has been described in limited studies. The patients usually present with their hip in flexion, abduction, and external rotation. Hip dislocation is an orthopedic emergency, and a reduction needs to be performed promptly to avoid devastating complications such as avascular necrosis. Here, we present a rare case of inferior hip dislocation in a 60-year-old man following a car-motorcycle collision. The patient presented to the emergency department with left hip flexion, abduction, external rotation, and inability to move his leg due to pain. Closed reduction under procedural sedation was attempted in the emergency department once, which was unsuccessful. The patient was then taken to the operating room for another attempt of closed reduction under general anesthesia. The patient was discharged after two days with pin traction and double crutches. After two weeks, the pin was removed, and full weight-bearing was permitted. After 12 weeks, the patient had mild pain with unusual activity and slight limping; however, imaging revealed no signs of any complications.