Wolfe M W, Brinker M R, Cary G R, Cook S D
Department of Orthopaedic Surgery, Tulane University Medical Center, New Orleans, La 70112, USA.
J South Orthop Assoc. 1995 Summer;4(2):91-5.
Posterior fracture-dislocation of the hip is an uncommon athletic injury, occasionally seen in contact and high-energy sports. The mechanism of injury in this case highlights the high hip joint forces possible during running. The key treatment principle is early reduction of the hip joint, since the incidence of osteonecrosis of the femoral head and degenerative arthrosis increases with delay. Operative treatment will frequently be required to achieve a stable, congruent reduction of articular surfaces, essential for good long-term results. Partial weight-bearing exercise such as swimming and bicycling may aid rehabilitation. Long-term follow-up, with serial radiographs, is important to detect late complications.
髋关节后脱位是一种罕见的运动损伤，偶尔见于接触性和高能量运动中。该病例的损伤机制突显了跑步时髋关节可能承受的高力量。关键的治疗原则是尽早复位髋关节，因为股骨头坏死和退行性关节炎的发生率会随着延迟而增加。通常需要手术治疗以实现关节面稳定、一致的复位，这对于获得良好的长期效果至关重要。诸如游泳和骑自行车之类的部分负重运动可能有助于康复。长期随访并进行系列X光检查对于发现晚期并发症很重要。
