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Case Reports
. 2013 Jun 18:2013:bcr2012008356.
doi: 10.1136/bcr-2012-008356.

Anterior hip dislocation in conjunction with a stroke: a diagnosis not to miss

Nicholas Furness  1 , Thomas Mendes Da Costa, Michael Bishay
Affiliations
Case Reports

Anterior hip dislocation in conjunction with a stroke: a diagnosis not to miss

Nicholas Furness et al. BMJ Case Rep. .

Abstract

Anterior dislocation of the native hip joint is an uncommon presentation accounting for around 15% of all hip dislocations. It is usually the result of a high-energy impact in circumstances such as a motor vehicle accident or a fall from a significant height. A delay in relocation of more than 6 h has been associated with a high risk of avascular necrosis of the femoral head. We report the case of a 75-year-old man who suffered an anterior dislocation of his native hip following a fall from a standing height, associated with an acute cerebrovascular stroke. There was significant delay in the recognition of the dislocation due to the coexistent signs of the stroke. This case illustrates that hip dislocation can occur following a low-energy mechanism of injury with the possibility of serious long-term consequences if it is not promptly recognised and treated.

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Figures

Figure 1
Figure 1
Photograph of patient prereduction.
Figure 2
Figure 2
Radiograph of hip prereduction.
Figure 3
Figure 3
Lateral radiograph of dislocated hip.
Figure 4
Figure 4
Postreduction CT scan showing anterior acetabular lip fracture.
See this image and copyright information in PMC

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Publication types