Can posterior hip fracture-dislocation occur in indoor football (futsal)? A report of two cases

Abstract

Hip fracture-dislocation is extremely rare in sports and is most frequently seen after road traffic accidents. This injury is associated with considerable long-term disability and rapidly progressive joint degeneration. This case report illustrates two cases of hip fracture dislocation that occurred while playing recreational indoor football (futsal). Futsal is a fast-emerging recreational sport in Malaysia and we are now beginning to see high-impact injuries rarely encountered in recreational sports. Therefore, futsal cannot be taken lightly and it is important to take adequate precautions to prevent serious injuries when participating in such sports.

Figure 1

Radiograph shows posterior right hip dislocation with infra fovea fracture of the right femoral head.

Figure 2

Pelvic AP radiograph view after reduction of the right hip shows the fracture piece rotated within the femoral head. This is confirmed by the CT image, which shows the fracture piece has rotated 180 degrees.

Figure 3

Shows anterior-posterior and lateral views of radiographs after open reduction and internal fixation of the femoral head with screw fixation.

Figure 4

Radiograph on the right shows posterior right hip dislocation with infra fovea fracture of the right femoral head and fracture of the posterior wall of the acetabulum. The radiograph is the post-reduction film that shows small piece over the superior aspect of the head representing the posterior lip of the acetabulum and irregular right femoral head.

Figure 5

CT showing the fracture fragment of the right femoral head. There is slight communion of the right posterior wall.

Figure 6

Radiographs after open reduction and internal fixation of the femoral head with screw fixation in both anterior-posterior and lateral views.