Singh Roop, Sharma Sansar Chand, Goel Tarun
Department of Orthopaedic Surgery, Physical Medicine, Paraplegia, and Rehabilitation, Pt. B.D. Sharma, Post Graduate Institute of Medical Sciences, Rohtak-124001 (Haryana) India.
J Orthop Trauma. 2006 Mar;20(3):220-2. doi: 10.1097/00005131-200603000-00010.
Traumatic Inferior dislocation of hip in adult is an extremely rare occurrence. We report a case of an inferior hip dislocation associated with an intertrochanteric fracture. Treatment consisted of an initial closed manipulative reduction of the dislocation with the aid of a Schanz screw inserted in a T handle universal chuck and using C-arm imaging. A dynamic hip screw was then used to fix the intertrochanteric fracture. At 2.5 years after the injury, the patient has symmetrical range of motion versus his contra lateral normal hip. Radiographs of the hip show normal anatomy without signs of avascular necrosis of the femoral head. To our knowledge, this is the first reported case of an adult with an inferior hip dislocation with a trochanteric fracture.
成人创伤性髋关节下脱位极为罕见。我们报告一例髋关节下脱位合并粗隆间骨折的病例。治疗首先在T型手柄通用夹头中插入一枚斯氏针并借助C型臂成像进行脱位的闭合手法复位。然后使用动力髋螺钉固定粗隆间骨折。受伤2.5年后，患者患侧与对侧正常髋关节的活动范围对称。髋关节X线片显示解剖结构正常，无股骨头缺血性坏死迹象。据我们所知，这是首例报道的成人髋关节下脱位合并粗隆间骨折的病例。
