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Case Reports
. 2018 Mar 21;4(2):180-183.
doi: 10.1016/j.artd.2018.02.007. eCollection 2018 Jun.

Late total hip arthroplasty dislocation due to yoga

Murillo Adrados  1 , Luke A Myhre  2 , Lee E Rubin  1
Affiliations
Case Reports

Late total hip arthroplasty dislocation due to yoga

Murillo Adrados et al. Arthroplast Today. .

Abstract

Yoga has become a popular form of exercise, recreation, and meditation for adults in the United States. As the popularity of both yoga and the incidence of hip replacements have both coincidentally increased over the last 2 decades, we imagine that the number of total hip replacement patients partaking in the practice of yoga has also increased. There are no clear guidelines available for yoga practice following hip replacement. To date, there have been no published reports of prosthetic hip dislocations during yoga. We present 2 cases of late total hip dislocations during yoga and provide a review of the available orthopaedic literature and our recommendations on patient restrictions and education with respect to practicing yoga after a hip replacement.

Keywords: Complication; Dislocation; Sports restrictions; Total hip arthroplasty; Total hip replacement; Yoga.

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Figures

Figure 1
Figure 1
Progression towards a shoulder stand position. The practitioner begins supine, then flexes her hip and lumbar spine so that her legs are directly above her face, in what is known as a plow pose, middle. She then uses her hands to cradle the small of her back, allowing for weight bearing and balancing through neck, shoulder, and elbow. This allows her to extend the hips into shoulder stand position.
Figure 2
Figure 2
Radiographs of the pelvis and right hip showing right hip prosthetic dislocation and subsequent reduction of case 1.
Figure 3
Figure 3
Achieving a forward fold usually begins with the patient standing and subsequently bending at the hips, with arms stretching towards the floor.
Figure 4
Figure 4
Dislocation and post-reduction plain radiographs of case 2.
See this image and copyright information in PMC

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