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Case Reports
. 2023 Jun 5:46:100871.
doi: 10.1016/j.tcr.2023.100871. eCollection 2023 Aug.

Obturator dislocations of the hip associated with pelvic ring injuries: Case report and review of the literature

Porter Young  1 , Azhar Bashir  2 , Paul Perdue  2
Affiliations
Case Reports

Obturator dislocations of the hip associated with pelvic ring injuries: Case report and review of the literature

Porter Young et al. Trauma Case Rep. .

Abstract

Case: An obturator hip dislocation with an associated open book pelvic ring injury is an extremely rare injury pattern. This case report will discuss challenges to closed reduction, acute management strategies and review the literature on combined hip dislocations and open book pelvic ring injuries.

Conclusion: This injury pattern presents unique reduction challenges that should be recognized early in order to provide effective resuscitation and preserve the femoral head blood supply. Failing to close reduce the hip delays reducing the pelvic ring volume because sheets and binders are precluded from working effectively.

Keywords: Hip dislocation; Pelvic ring injury; Polytrauma.

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Conflict of interest statement

The above authors have no conflicts of interest to disclose. This includes financial and personal relationships with other people or organisations that could inappropriately influence (bias) their work.

Figures

Fig. 1
Fig. 1
AP pelvis radiograph demonstrating pubic symphysis diastasis, left sacroiliac joint disruption and left anterior/inferior hip dislocation.
Fig. 2
Fig. 2
(A) AP pelvis fluoroscopic view of a failed closed reduction maneuver and (B) successful reduction using a 5.0 mm Shanz pin in the femoral neck for manipulation.
Fig. 3
Fig. 3
(A) AP pelvis fluoroscopic view of the reduced anterior ring using two Weber clamps. (B) AP, (C) inlet and (D) outlet fluoroscopic views of final anterior ring fixation.
Fig. 4
Fig. 4
(A) AP, (B) inlet and (C) outlet radiographs of final pelvic ring fixation at 20 months postop.
See this image and copyright information in PMC

References

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