Neglected traumatic hip dislocation: Influence of the increased intracapsular pressure
نویسنده
چکیده
AIM To investigate that the increased intracapsular pressure, during the delay period, can interrupt the blood flow to the femoral head. METHODS An observational retrospective study included a group of 17 patients with traumatic hip dislocation, their ages at time of injury averaged 26 (range from 3 to 70) years. Outcomes were assessed clinically and radiographically at a period averaged 11.5 (range from 4 to 20) years. RESULTS Minor trauma caused dislocation in seven and severe trauma in ten patients. All dislocations were posterior, six isolated dislocation and 11 were associated with other injuries. The negligence period averaged 2.5 (ranged from 1 to 4) d. At the latest visit, the radiography revealed normal hip in 11 and avascular necrosis (AVN) in six patients. Clinically, eight patients were rated as excellent, three good, three fair and three poor. CONCLUSION We believe the factors that contribute to increased intracapsular pressure also increase the influence of delayed reduction toward the development of AVN.
منابع مشابه
Intracapsular pressure and interleukin-1β cytokine in hips with acetabular dysplasia
BACKGROUND AND PURPOSE Several studies have demonstrated an increased intracapsular pressure in several hip disorders such as septic arthritis, synovitis, and trauma. We therefore measured the intracapsular pressure in different positions in early dysplasic hips and its relation to the concentration of interleukin-1beta (IL- 1beta), the volume of joint fluid, and the clinical and radiographic f...
متن کاملPseudo-Acetabulum due to Heterotopic Ossification in a Child with Post Traumatic Neglected Posterior Hip Dislocation
INTRODUCTION Traumatic neglected dislocations of hip in children are rare entity. Neglected traumatic dislocations of hip in children along with heterotopic ossification are still rare. Post traumatic neglected hip dislocations are to be diagnosed as early as possible and have to be treated with precision and aggression as the outcome of treatment for the same is not predictable. CASE REPORT ...
متن کاملDecreasing incidence of femoral neck fractures in the Medicare population.
This study was designed to evaluate trends in incidence and treatment patterns for intracapsular hip fractures and to evaluate risk factors for complications and mortality. Patients with an intracapsular hip fracture who underwent internal fixation, hemiarthroplasty, or total hip arthroplasty (THA) were identified from a 5% nationwide sample of Medicare data (1998-2007). The authors identified ...
متن کاملTraumatic dislocation of hip in children is a rare entity complications like avascular necrosis of femoral head, accounting for less than 5% of pediatric dislocation and redislocation, heterotopic ossification and chondrolysis
Case History associated with poor outcome because as the time interval between dislocation and reduction increases, incidence of Traumatic dislocation of hip in children is a rare entity complications like avascular necrosis of femoral head, accounting for less than 5% of pediatric dislocation and redislocation, heterotopic ossification and chondrolysis neglected post traumatic dislocation of h...
متن کاملA Rare Case of Neglected Traumatic Anterior Dislocation of Hip in a Child
INTRODUCTION Post traumatic hip dislocations are very rare in children. Neglected anterior hip dislocations in children are not described in literature so far. Here, we present a case of 6 weeks old anterior hip dislocation successfully managed by open reduction. CASE PRESENTATION A 9-year-old male child presented with neglected anterior hip dislocation on left side. Open reduction carried ou...
متن کامل