Hip Dislocation

It occurs when the head of the thigh (Femur)bone is forced out of the socket (Acetabulum) of hip bone. Hip dislocation is a medical emergency and needs immediate treatment.

Hip dislocation also damages the ligaments, labrum, muscles, and other soft tissues that hold the bone in place. This can include the nerves (sciatic) aswell.

With hip dislocation, there are often other related injuries, such as fractures of the pelvis , thigh bone, knee.

Hip dislocation is of two types
  • Posterior dislocation: It is the most common dislocation. In this type of dislocation, the thigh bone is pushed out of the socket in a backwards direction.
  • Anterior dislocation: In this type of dislocation, the thigh bone is pushed out of the socket in a forwards direction.
Causes
  • Road traffic accidents
  • Falls from heights
  • Developmental dysplasia.
Symptoms
  • Pain
  • Inability to move the joint
  • Indablity to bear weight
  • Numbness & tingling when associated nerve (Sciatic) injury
Investigations
  • X-rays
  • CT Scan
  • MRI
Treatment
Non-Surgical
  • Closed reduction under anaesthia
Surgical
  • Open reduction when closed reduction fails and also when associated with fractures.
Complications
  • Arthritis
  • Nerve Injury
  • Osteonecrosis/ Avascular necrosis (bone death)
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