Traumatic Posterior Hip Dislocation and Epiphysiolysis in a High School Football Player with Successful Outcome at 4 Years Follow-up

2020 ◽  
Vol 10 (4) ◽  
pp. e20.00104
Author(s):  
Alexander Nazareth ◽  
Benjamin Cooper ◽  
Steven Matt Hollenbeck
1989 ◽  
Vol 17 (10) ◽  
pp. 112-120 ◽  
Author(s):  
Zane T. Walsh ◽  
Lyle J. Micheli

2009 ◽  
Vol 14 (1) ◽  
pp. 39-40
Author(s):  
Aaron MacDonald ◽  
Darren Johnson ◽  
Barton Branam ◽  
Michael Krueger

Orthopedics ◽  
2012 ◽  
Vol 35 (8) ◽  
pp. e1272-e1275 ◽  
Author(s):  
Xinning Li ◽  
Matthew T. Gorman ◽  
Joshua S. Dines ◽  
Orr Limpisvasti

1995 ◽  
Vol 4 (1) ◽  
pp. 54-58
Author(s):  
Michael J. Carroll

Dislocation with an associated fracture of the ankle is a rare injury. A medial dislocation of the subtalar joint is uncommon, because the normal direction of the subtalar dislocation is lateral. This paper discusses a fracture medial dislocation of the ankle in a high school football player. Initial treatment of the injury included on-the-field management and referral to a hospital and an orthopedic surgeon. Rehabilitation of this injury was very slow and conservative in the initial stage after surgery. This included range of motion exercises for the ankle, full leg conditioning, and ice. After the fracture site was found stable the injury was treated much the same as a Grade II ankle sprain. The goal of rehabilitation was to return the range of motion, strength, and girth measurements of the affected side to those of the contralateral side as quickly as possible, so the athlete could resume athletics. When the affected side met these criteria, there was little to no pain with activity, and the orthopedic physician granted clearance, the athlete was allowed to return to competition.


2000 ◽  
Vol 5 (6) ◽  
pp. 44-45
Author(s):  
William E. Welsh ◽  
Paul V. Brooks ◽  
David A.M. Caborn

2020 ◽  
Vol 8 (5_suppl5) ◽  
pp. 2325967120S0003
Author(s):  
Ismail H. Dilogo ◽  
Jessica Fiolin

Recurrent hip dislocation in a Down Syndrome patient with dysplastic hip is a very challenging case to treat even for an expert orthopaedic hip surgeon. Least compliant patient and family, lowly educated with low socioeconomic status and the dysplastic hip forces limited option as a treatment. This is the first case world wide reporting 4 year follow up of dysplastic hip with Down Syndrome treated successfully with PAO technique. Methods: An eighteen years old female with history of Down Syndrome had multiple posterior hip dislocation episodes since 3 years prior. Several attempts of close reduction and hip spica applications were performed upon dislocation despite no successful retaining of reduction. Acetabular index of right hip were 550 and epiphyseal plate hasclosed. PatientwasperformedopenreductionusingSouthern-Mooreposteriorapproachand osteotomy of ischium, continued with capsulorrhaphy followed with Smith-Peterson anterior approach and osteotomy of superior ramus pubis and iliac bone. Then, derotation maneuver was performed under image intensifier to obtain adequate coveragefollowedwithbonegraftandfixationusing2cannulatedscrewandhipspica castapplication. Results: Within four years after surgery, the hip has never been dislocated again, patient could sit without pain and walk with full weight bearing although Harris Hip Score could not be performed due to Down Syndrome. Leg length discrepancy was negligible,fracture has fully united and acetabularin dex was300. Conclusions: Ganz periacetabular osteotomy, although a technically demanding surgery, is a preferable treatment in recurrent hip dislocation for Down Syndrome patient with good to excellent clinical and radiological ou tcome


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