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孤立性股直肌脱位——病例系列及文献综述

Isolated Luxatio Erecta Femoris - Case Series and Review of Literature.

作者信息

Kumar A S Arun, George Jiju, Nair Ayyappan

机构信息

Department of Orthopaedics, Travancore Medical College Hospital, Thattamala, P.O. Kollam, India.

出版信息

J Orthop Case Rep. 2022 Feb;12(2):69-75. doi: 10.13107/jocr.2022.v12.i02.2672.

Abstract

INTRODUCTION

Luxatio erecta femoris or inferior hip dislocation is the rarest type of hip dislocation. It can be caused by a severe trauma to the hip and the mechanism of injury is often very complex. Very few cases have been reported in the literature, and often associated with other musculoskeletal injuries. Overall about 30 cases were reported till recently.

CASE PRESENTATIONS

We came across five cases of Luxatio erecta femoris from our six year study period from 2015 to 2020. All five cases were males (mean age-28.4 years, age range 20-40 years). All of them were isolated injuries (pure dislocation without any associated femur, acetabular, or pelvic fractures). We will present the details of these cases along with review of literature, trying to unravel the mechanism of such an injuries.

CONCLUSION

With the increase in high energy road traffic accidents, the incidence of luxatio erecta femoris in adults has increased. We could identify all those injuries and treated it with excellent clinical outcome. This type of rare dislocations if properly identified, we can manage it without much delay and very minimal complications.

摘要

引言

股骨直立性脱位或髋关节下脱位是髋关节脱位中最罕见的类型。它可由髋关节的严重创伤引起,损伤机制通常非常复杂。文献中报道的病例极少,且常与其他肌肉骨骼损伤相关。截至目前,总体报道约30例。

病例报告

在我们2015年至2020年的六年研究期间,我们遇到了5例股骨直立性脱位病例。所有5例均为男性(平均年龄28.4岁,年龄范围20至40岁)。所有病例均为单纯损伤(单纯脱位,无任何相关的股骨、髋臼或骨盆骨折)。我们将展示这些病例的详细情况并结合文献回顾,试图阐明此类损伤的机制。

结论

随着高能道路交通事故的增加,成人股骨直立性脱位的发生率有所上升。我们能够识别所有这些损伤并给予治疗,临床效果良好。这种罕见的脱位类型如果能得到正确识别,我们可以及时处理,并发症极少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2392/9499155/05503bde798f/JOCR-12-69-g001.jpg

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