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髋关节闭孔脱位合并骨盆环损伤:病例报告及文献复习

Obturator dislocations of the hip associated with pelvic ring injuries: Case report and review of the literature.

作者信息

Young Porter, Bashir Azhar, Perdue Paul

机构信息

University of Florida-Jacksonville, Jacksonville, FL, United States of America.

Virginia Commonwealth University, Richmond, VA, United States of America.

出版信息

Trauma Case Rep. 2023 Jun 5;46:100871. doi: 10.1016/j.tcr.2023.100871. eCollection 2023 Aug.

Abstract

CASE

An obturator hip dislocation with an associated open book pelvic ring injury is an extremely rare injury pattern. This case report will discuss challenges to closed reduction, acute management strategies and review the literature on combined hip dislocations and open book pelvic ring injuries.

CONCLUSION

This injury pattern presents unique reduction challenges that should be recognized early in order to provide effective resuscitation and preserve the femoral head blood supply. Failing to close reduce the hip delays reducing the pelvic ring volume because sheets and binders are precluded from working effectively.

摘要

病例

闭孔型髋关节脱位合并骨盆环开书样损伤是一种极其罕见的损伤类型。本病例报告将探讨闭合复位的挑战、急性处理策略,并回顾关于合并髋关节脱位和骨盆环开书样损伤的文献。

结论

这种损伤类型存在独特的复位挑战,应尽早识别,以便进行有效的复苏并保留股骨头血供。未能闭合复位髋关节会延迟骨盆环容积的减小,因为床单和绷带无法有效发挥作用。

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