Late Presenting Traumatic Obturator Dislocation-A Rare Case Report (original) (raw)
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A Bilateral Traumatic Hip Obturator Dislocation
Case Reports in Orthopedics, 2016
A case of a bilateral simultaneous traumatic obturator dislocation of both hip joints in an 18-year-old young man following a traffic accident is presented. We reduced the dislocated femoral heads immediately under general anesthesia followed by passive and active exercises and early full-weight bearing mobilization. After 5 years, the result was excellent.
Annals of Case Reports, 2018
The term traumatic dislocation of the hip gathers multiples types of dislocations, and more commonly, fracture-dislocations which have been subclassified. The rise of road traffic accidents with high-energy trauma increased the incidence of this traumatic injury. We report a rare case of a 34-year-old man with a traumatic obturator dislocation of the right hip with fracture of the ipsilateral femoral head as a result of a work injury. Closed reduction was done under general anesthesia. Radiograph and CT-scan showed a good reduction. Traction was applied for three weeks followed by progressive mobilization. Full weight bearing was allowed after three months. At two years' follow-up there were no signs of osteonecrosis of the femoral head and the patient regained good function.
Case Report 4-MONTH OLD UNREDUCED ANTERO-INFERIOR OBTURATOR DISLOCATION OF HIP-A CASE REPORT
2020
Traumatic antero inferior dislocations of hip a relatively rare injuries, diagnosed and managed in an acute setting. Usually this injury is managed acutely. Late presentation is rarely seen, but can be seen in multiple injured patients. We report a case of 4 month old, traumatic, unreduced, anterior dislocation (obturator) of right hip in a 40 yr old male. After a failed closed reduction, concentric open reduction was achieved leaving the patient with a painless functional hip after 4 years without evidence of avascular necrosis of femoral head. We conclude that although rare such injuries should be looked for in patients complaining of hip pain and even in case of late presentation good clinical outcome can be expected in patients without femoral head fractures.
4- Month Old Unreduced Antero-Inferior Obturator Dislocation of Hip- a Case Report
2014
Traumatic antero inferior dislocations of hip a relatively rare injuries, diagnosed and managed in an acute setting. Usually this injury is managed acutely. Late presentation is rarely seen, but can be seen in multiple injured patients. We report a case of 4 month old, traumatic, unreduced, anterior dislocation (obturator) of right hip in a 40 yr old male. After a failed closed reduction, concentric open reduction was achieved leaving the patient with a painless functional hip after 4 years without evidence of avascular necrosis of femoral head. We conclude that although rare such injuries should be looked for in patients complaining of hip pain and even in case of late presentation good clinical outcome can be expected in patients without femoral head fractures.
Obturator Dislocation of the Hip at Yopougon/Abidjan Teaching Hospital
Obturator dislocation of the hip is caused by high-velocity accidents as evidenced by its frequent association with other traumatic injuries and, seldom found. Its main complication remains femoral head avascular necrosis. We report on four cases of obturator dislocation of the hip. The mean age of patients was 30 years, and all their injuries followed a road traffic accident. Associated lesions were a contralateral femur fracture in two cases and an osteochondral fracture in one case. Reduction of dislocations was achieved orthopedically under general anaesthesia and the average waiting time before reduction was 20 hours. One patient had an intra-articular incarcerated fragment visible on X-ray, and another patient showed signs of early coxarthrosis 15 months later. The average follow-up time was 24 months.
Obturator Dislocation of the Hip: A Rare Sport Injury
Elyazid Houass et al; Sch J App Med Sci, Nov, 2020; 8(11): 2609-2611, 2020
Dislocation of the hip, in its obturator variety, is a rare entity, especially in sports practice, it requires reduction in less than 6 hours, performed by a qualified surgeon to avoid complications, we report the case of an obturator (anteroinferior) dislocation in a 19-years-old male practicing a sport of contact.
Turkish Journal of Trauma and Emergency Surgery, 2012
Otuz yaşında bir kadın hasta çift taraflı ve eşzamanlı olarak her iki kalça ekleminde anterior dislokasyonla başvurdu. Hasta konservatif yolla tedavi edildi. İki yıllık takip avasküler nekroz belirtileri olmaksızın mükemmel sonuçlar alındığını gösterdi. Yaralanmanın önceden bildirilen olgulardan farklı olan nedeni ve mekanizması tartışıldı. Anahtar Sözcükler: Avasküler nekroz; bilateral anterior kalça çıkığı; travmatik; yaralanma mekanizması. A case of bilateral simultaneous anterior dislocation of the hip in a 30-year-old female is presented herein. The patient was managed conservatively. Follow-up at two years showed excellent results with no signs of avascular necrosis. The cause and mechanism of injury are discussed, which are different from those of previously reported cases.
Traumatic Dislocation and Fracture Dislocation of the Hip
Clinical Orthopaedics and Related Research, 1987
Traumatic dislocation and fracture-dislocation of the hip is an absolute orthopedic emergency that is steadily increasing in incidence. Early recognition and prompt, stable reduction is the essence of successful management. A delay in recognition and reduction leads to preventable complications and morbidity. The purpose of this retrospective study is to identify prognostic factors that predict long-term outcome after hip dislocation. Methods: Between 1980 and 1994, 107 patients with traumatic dislocation of the hips were treated, and 62 are reviewed in this study. There were 57 posterior fracture-dislocations and 5 anterior-obturator dislocations. All of the patients' charts were reviewed. The physical examinations and radiologic controls of the patients who were called for last follow-up examination were performed by the first two authors (V.Ş. and E.K.). Anterior and posterior fracture-dislocations were classified according to the classification system developed by Steward and Milford and femoral head fractures were classified according to the Pipkin classification. All of the hips were classified as very good, good, medium, fair, and poor according to the functional evaluation system described by Merle d'Aubigne. Statistical analysis of the results was performed. Results: There were 47 male patients and 15 female patients, with ages ranging from 14 to 72 years (mean, 34.5 years). Traffic accidents constituted the leading cause of traumatic dislocation in this series (52 cases [83.9%]). Associated injuries were found in 44 cases (71%). Fifty patients were treated with closed reduction, and 12 patients were treated with open reduction. Thirty-five hips (56.5%) were reduced within 12 hours. Full weightbearing was resumed between 2 and 10 weeks (average, 8 weeks) after injury. In follow-up periods ranging from 3.6 years to 18.4 years (mean, 9.6 years), 44 patients (71%) had very good or good to medium results. Ten patients (16.1%) developed late posttraumatic osteoarthritis of the hip, and 5 patients (9.6%) developed osteonecrosis of the femoral head. In this study, it is found that the time between injury and reduction and the associated injuries are the most important factors in long-term prognosis. Conclusion: We believe that good results were obtained in patients with early, stable, and accurate reductions by either closed or open methods. Concentric reduction absolutely should be confirmed by radiographs of the pelvis and, if necessary, by computed tomographic scan. The routine use of seat belts could have prevented many of these injuries.