Department of Orthopaedic Surgery, Mount Sinai West Hospital, New York, NY, United States of America.
Department of Radiology, Mount Sinai West Hospital, New York, NY, United States of America.
Clin Imaging. 2021 May;73:48-52. doi: 10.1016/j.clinimag.2020.11.055. Epub 2020 Dec 3.
A 90-year-old male sustained a low energy anterior hip dislocation without fracture after a ground-level fall. Magnetic resonance imaging (MRI) detected femoral vessel compression and thrombosis. The patient underwent placement of an inferior vena cava (IVC) filter prior to successful closed reduction in the operating room.
Anterior hip dislocations are rare events that require urgent intervention to reduce the risk of complications. One underreported complication is femoral vessel thrombosis from direct compression against the femoral head. Dedicated imaging should be considered to rule out a thrombus. An IVC filter can be placed prior to reduction attempts to avoid potential thrombotic emboli.
一位 90 岁男性在平地摔倒后发生低能量性髋关节前脱位,无骨折。磁共振成像(MRI)发现股血管受压和血栓形成。患者在手术室成功闭合复位前放置了下腔静脉(IVC)滤器。
髋关节前脱位较为罕见,但需要紧急干预以降低并发症风险。一种报道较少的并发症是股血管因直接压迫股骨头而发生血栓形成。应考虑进行专门的影像学检查以排除血栓。可在复位前放置 IVC 滤器以避免潜在的血栓性栓子。