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The irreducible floating hip: a unique presentation of a rare injury.

Tiedeken NC, Saldanha V, Handal J, Raphael J - J Surg Case Rep (2013)

Bottom Line: We report the case of a 35-year-old male with a lower extremity posterior wall acetabular fracture, ipsilateral femoral shaft fracture and a postero-superior hip dislocation.Despite the obvious bony injuries, orthopedic surgeons must be vigilant of the neurovascular structures and soft tissues that have absorbed a great amount of force.A treatment plan should be formulated based on the status of the overlying soft tissue, fracture pattern and the patient's physiologic stability.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, Albert Einstein Medical Center, Philadelphia, PA, USA nathan.tiedeken@gmail.com.

No MeSH data available.


Related in: MedlinePlus

AP left femur of type B floating hip with associated hip dislocation. The medial knee soft tissue injury is also appreciated.
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RJT075F2: AP left femur of type B floating hip with associated hip dislocation. The medial knee soft tissue injury is also appreciated.

Mentions: A 35-year-old male was involved in a high-speed urban dirt biking accident. The patient was stable with a GCS of 15 and was neurovascularly intact. His left knee exhibited a 10 × 20 cm medial traumatic arthrotomy and his thigh compartments were soft and compressible. Imaging revealed a left hip postero-superior dislocation, posterior wall acetabular fracture, ipsilateral transverse femoral diaphyseal fracture and an engaging hill-sachs-type lesion of the femoral head with the postero-superior acetabulum (Figs 1–3). Cefazolin, gentamicin and tetanus prophylaxis were administered along with a bedside washout of the traumatic arthrotomy. The patient was medically cleared for operative intervention as all blood work and further imaging were normal.Figure 1:


The irreducible floating hip: a unique presentation of a rare injury.

Tiedeken NC, Saldanha V, Handal J, Raphael J - J Surg Case Rep (2013)

AP left femur of type B floating hip with associated hip dislocation. The medial knee soft tissue injury is also appreciated.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3852630&req=5

RJT075F2: AP left femur of type B floating hip with associated hip dislocation. The medial knee soft tissue injury is also appreciated.
Mentions: A 35-year-old male was involved in a high-speed urban dirt biking accident. The patient was stable with a GCS of 15 and was neurovascularly intact. His left knee exhibited a 10 × 20 cm medial traumatic arthrotomy and his thigh compartments were soft and compressible. Imaging revealed a left hip postero-superior dislocation, posterior wall acetabular fracture, ipsilateral transverse femoral diaphyseal fracture and an engaging hill-sachs-type lesion of the femoral head with the postero-superior acetabulum (Figs 1–3). Cefazolin, gentamicin and tetanus prophylaxis were administered along with a bedside washout of the traumatic arthrotomy. The patient was medically cleared for operative intervention as all blood work and further imaging were normal.Figure 1:

Bottom Line: We report the case of a 35-year-old male with a lower extremity posterior wall acetabular fracture, ipsilateral femoral shaft fracture and a postero-superior hip dislocation.Despite the obvious bony injuries, orthopedic surgeons must be vigilant of the neurovascular structures and soft tissues that have absorbed a great amount of force.A treatment plan should be formulated based on the status of the overlying soft tissue, fracture pattern and the patient's physiologic stability.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, Albert Einstein Medical Center, Philadelphia, PA, USA nathan.tiedeken@gmail.com.

No MeSH data available.


Related in: MedlinePlus