Schuh Alexander, Doleschal Sylvia, Schmickal Thomas
Research Unit Orthopedics and General Surgery, Neumarkt Clinic, 92318 Neumarkt, Germany.
Case Rep Med. 2009;2009:363461. doi: 10.1155/2009/363461. Epub 2010 Feb 4.
Hip dislocations during sporting activities represent only 2%-5% of all hip dislocations. Most hip dislocations in sports can be categorised as "less complicated traumatic hip dislocations" by the Stewart-Milford classification due to the fact that minimal force is involved. The incidence of avascular necrosis of the femoral head greatly increases if the time to reduction is more than six hours. We report the case of a 38-year-old football player who suffered hip dislocation while kicking the ball with the medial aspect of the right foot in an external rotated manner of the right hip. Closed reduction was performed within 2 hours; postoperative follow-up was uneventful. Six months later the patient is out of any complaints; there is no sign of AVN of the femoral head.
体育活动中发生的髋关节脱位仅占所有髋关节脱位的2%-5%。由于涉及的力量极小，根据Stewart-Milford分类，大多数运动中的髋关节脱位可归类为“不太复杂的创伤性髋关节脱位”。如果复位时间超过6小时，股骨头缺血性坏死的发生率会大大增加。我们报告一例38岁足球运动员的病例，该运动员在以右髋外旋方式用右脚内侧踢球时发生髋关节脱位。在2小时内进行了闭合复位；术后随访无异常。6个月后患者无任何不适主诉；没有股骨头缺血性坏死的迹象。
