Dislocation Of Hip: Orthopedics Lecture

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Dislocation Of Hip -
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Hip dislocation is a serious orthopedic injury where the femoral head (the ball part of the hip joint) is displaced from its acetabulum (the socket). This condition can lead to significant complications if not addressed promptly.
Types of Hip Dislocation :-
1) Posterior Dislocation:
Commonality: The most frequent type, often resulting from high-energy trauma, such as motor vehicle accidents or falls.
Mechanism: Typically occurs when the knee strikes the dashboard in a car accident, causing the femur to be pushed backwards.
Presentation: The affected limb is often flexed, adducted, and internally rotated.
2) Anterior Dislocation:
Rarity: Less common than posterior dislocations, often caused by forced abduction and external rotation.
Mechanism: Can occur in sports injuries or falls.
Presentation: The limb may be extended and externally rotated

Symptoms :
Intense pain in the hip region.
Inability to move the leg or bear weight.
Visible deformity of the hip joint.
Changes in limb position, as described above.

Diagnosis :
Clinical Examination: Assessing limb position and mobility.
Imaging: X-rays or CT scans confirm dislocation and assess for associated fractures.

Treatment :
Emergency Management: Immediate reduction of the dislocation is crucial. This can be done through closed reduction techniques.
Post-reduction Care: Patients may require immobilization and physical therapy to regain strength and mobility.
Surgery: In cases of recurrent dislocations or significant associated injuries, surgical intervention may be necessary.

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