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成人创伤性髋关节下脱位:罕见病例以切开复位告终。

Adult Traumatic Inferior Hip Dislocation: Rare Case Ended with Open Reduction.

作者信息

Ismael Salam, Vora J, Thomas P

机构信息

Department of Orthopaedics, Wrexham Maelor Hospital, Wrexham, United Kingdom.

Department of Orthopaedics, University Hospital of Wales, Cardiff, United Kingdom.

出版信息

J Orthop Case Rep. 2017 Jan-Feb;7(1):101-104. doi: 10.13107/jocr.2250-0685.708.

Abstract

INTRODUCTION

An inferior hip dislocation also called luxatio erecta femoris is a rare type of hip dislocation that is not widely reported in literature. Only 12 cases are reported in British literature.

CASE REPORT

This article reports a 17-year-old male involved in a road traffic accident, sustaining inferior hip dislocation. Following resuscitation, computed tomography confirmed the clinical diagnoses. Several attempts to perform a closed reduction of the hip under sedation and general anesthesia failed to reduce the dislocation. The patient underwent open reduction of his hip and capsule repair. Postoperatively no traction was applied, and the patient advised non-weight bearing on that side for 3 months.

CONCLUSION

To our knowledge, this is the first reported case of an adult with an inferior hip dislocation not associated with a trochanteric fracture and required open reduction.

摘要

引言

低位髋关节脱位也称为股直肌直立脱位,是一种罕见的髋关节脱位类型,文献报道较少。英国文献中仅报道了12例。

病例报告

本文报道一名17岁男性,因道路交通事故导致低位髋关节脱位。复苏后,计算机断层扫描证实了临床诊断。在镇静和全身麻醉下多次尝试进行髋关节闭合复位均未成功。患者接受了髋关节切开复位及关节囊修复术。术后未进行牵引,建议患者患侧3个月内不负重。

结论

据我们所知,这是首例报道的成年低位髋关节脱位且不伴有转子骨折并需切开复位的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4955/5458685/d32b3d328cd6/JOCR-7-101-g001.jpg

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