Hip fracture dislocation

Case contributed by Mohamed Mahmoud Elthokapy

Presentation

Motor vehicle accident (high-speed trauma) with severe pain and immobility of right hip.

Patient Data

Age: 35 years
Gender: Male
x_ray

Comminuted fractured right posterior-superior acetabulum with posterior dislocation of the right femoral head.

CT pelvis and hip joints

ct

Comminuted fracture along right posterior-superior acetabulum with marked posterior dislocation of the right femoral head associated with multiple intraarticular loose bone fragments.

Fractures along the right acetabular anterior column are also noted.

Case Discussion

Posterior hip dislocations are much more common than anterior hip dislocations and are most often the result of motor vehicle accidents.  

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