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一例髋关节前脱位合并股骨近端不寻常骨折模式的病例。

A Case of Anterior Dislocation of Hip Associated with an Unusual Pattern of Fracture of Proximal Femur.

作者信息

Raja Jawahar Adi, Valsalan Brijesh P

机构信息

Department of Orthopaedics, Malabar Medical College, Calicut, Kerala, India.

Department of Orthopaedics, Co-operative Hospital, Vatakara, Calicut, Kerala, India.

出版信息

J Orthop Case Rep. 2015 Oct-Dec;5(4):34-5. doi: 10.13107/jocr.2250-0685.340.

Abstract

INTRODUCTION

Anterior dislocation of hip associated with fracture of proximal femur is an uncommon injury. Only very few cases are reported in the literature. We report such an unusual and previously not described case of anterior dislocation of hip associated with fracture of trochanter and neck of the femur in an elderly lady.

CASE REPORT

A 60 year old lady was presented to our casualty following a fall at home. She complained of pain in the left hip with deformity and inability to move the limb. The hip was externally rotated and clinical examination revealed anterior dislocation of the hip. X-ray showed associated fracture of the proximal femur extending between base of greater trochanter and head of the femur. Cemented Hemiarthroplasty was done under regional anesthesia.

CONCLUSION

Anterior dislocation of hip with extensive fracture of proximal femur, though a rare condition may present because of associated twisting force at the time of the fall. If operated with cemented prosthetic replacement of the head, patient can be mobilized early.

摘要

引言

髋关节前脱位合并股骨近端骨折是一种罕见的损伤。文献中仅报道了极少数病例。我们报告了一位老年女性中这种不寻常且此前未被描述过的髋关节前脱位合并股骨转子和股骨颈骨折的病例。

病例报告

一名60岁女性在家中跌倒后被送往我院急诊。她主诉左髋部疼痛,伴有畸形且肢体无法活动。髋关节呈外旋位,临床检查显示髋关节前脱位。X线显示股骨近端骨折,骨折线从大转子基部延伸至股骨头。在区域麻醉下行骨水泥半髋关节置换术。

结论

髋关节前脱位合并股骨近端广泛骨折,虽然是一种罕见情况,但可能由于跌倒时的相关扭转力而出现。如果采用骨水泥型人工股骨头置换手术,患者可早期活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a46/4845452/c7ffecd71793/JOCR-5-34-g001.jpg

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