Urchek Ryan, Miller Eric
Orthopedics. 2017 Jan 1;40(1):e179-e181. doi: 10.3928/01477447-20161006-01. Epub 2016 Oct 13.
The typical injury pattern of a posterior hip dislocation includes posterior wall fracture, capsular injury, and muscular strain. This report presents an example of a posterior wall acetabulum fracture-dislocation associated with complete hip abductor tendon and capsular avulsion from the femur. The patient was found to have an unstable hip despite a small posterior wall fragment due to the extensive soft tissue injury. This was repaired. The patient had improvement in function initially, but ultimately required repair of the hip abductor tendons. To the best of the authors' knowledge, this is the first case report of this specific injury in the literature. [Orthopedics. 2017; 40(1):e179-e181.].
髋关节后脱位的典型损伤模式包括后壁骨折、关节囊损伤和肌肉拉伤。本报告展示了一例髋臼后壁骨折脱位，伴有髋外展肌肌腱完全从股骨撕脱及关节囊撕裂。尽管后壁骨折块较小，但由于广泛的软组织损伤，该患者的髋关节仍不稳定。对此进行了修复。患者最初功能有所改善，但最终仍需修复髋外展肌肌腱。据作者所知，这是文献中首例关于这种特定损伤的病例报告。[《骨科》。2017年；40(1):e179 - e181。]
