Management of Hip Dislocations

Management of Hip Dislocations ,[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object],[object Object]

Anatomy ,[object Object],[object Object],[object Object],[object Object]

Joint Contact Area ,[object Object],[object Object],[object Object]

Acetabular Labrum ,[object Object],[object Object],[object Object]

Hip Joint Capsule ,[object Object],[object Object],[object Object],[object Object],[object Object]

The ligaments of hip joint ,[object Object]

Blood Supply to Femoral Head (3 sources) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sciatic Nerve ,[object Object],[object Object],[object Object],[object Object]

Hip Dislocation: Mechanism of Injury ,[object Object],[object Object],[object Object]

Classification ,[object Object],[object Object],[object Object],[object Object]

Thomas and Epstein Classification of Hip Dislocations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Limb position ? according to types

Posterior Dislocation ,[object Object],[object Object]

Types of Posterior Dislocation ,[object Object],[object Object],[object Object]

Mechanism of Anterior Dislocation ,[object Object],[object Object],[object Object]

Types of anterior dislocation ,[object Object],[object Object],[object Object]

Effect of Dislocation on Femoral Head Circulation ,[object Object],[object Object],[object Object],[object Object]

Associated Injuries ,[object Object],[object Object],[object Object],[object Object]

Cont…… ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cont… ,[object Object],[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object]

Physical Examination: Classical Appearance ,[object Object]

Physical Examination: Classical Appearance ,[object Object],[object Object],[object Object]

Irregular presentation/appearance if: ,[object Object],[object Object],[object Object]

Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]

Radiographs: AP Pelvis X-Ray ,[object Object],[object Object],[object Object],[object Object],[object Object]

Reasons to Obtain More X-Rays Before Hip Reduction ,[object Object],[object Object]

X-rays after Hip Reduction : ,[object Object],[object Object],[object Object]

CT Scan ,[object Object],[object Object],[object Object],[object Object],[object Object]

MRI Scan ,[object Object],[object Object]

Clinical Management: Emergent Treatment ,[object Object],[object Object]

Benefits of early Reduction ,[object Object],[object Object],[object Object],[object Object]

Patterns Treated Non operatively ,[object Object],[object Object],[object Object],[object Object]

Anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object]

Reduction Maneuvers ,[object Object],[object Object],[object Object],[object Object],[object Object]

Allis Maneuver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Reduction of posterior dislocation Bigelow maneuver East Baltimore lift technique

How to know reduced Hip ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stability Test ,[object Object],[object Object],[object Object],[object Object]

Nonoperative Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Irreducible Hip ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Causes of Irreducible dislocation ,[object Object],[object Object],[object Object],[object Object]

Indications for open Reduction ,[object Object],[object Object],[object Object],[object Object],[object Object]

Irreducible anterior hip dislocation ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Irreducible Hip Dislocation: Posterior

1. Irreducible Posterior Dislocation with Large Femoral Head Fracture ,[object Object],[object Object]

Three Options ,[object Object],[object Object],[object Object],[object Object]

2. Hip Dislocation with Femoral Neck Fracture ,[object Object],[object Object],[object Object]

Cont….. ,[object Object],[object Object],[object Object]

3. Incarcerated Fragment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

4. Incongruent Reduction ,[object Object],[object Object],[object Object],[object Object]

5. Unstable Hip after Reduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Results of Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of Hip Dislocation ,[object Object],[object Object],[object Object]

2- Post-traumatic Osteoarthritis ,[object Object],[object Object],[object Object],[object Object]

3- Recurrent Dislocation ,[object Object],[object Object],[object Object]

Recurrent Dislocation Caused by Defect in Posterior Wall and/or Femoral Head ,[object Object],[object Object],[object Object]

4- Delayed Diagnosis of Hip Dislocation ,[object Object],[object Object],[object Object],[object Object]

5- Sciatic Nerve Injury ,[object Object],[object Object],[object Object],[object Object]

Sciatic Nerve Palsy: If No Improvement after 3–4 Weeks ,[object Object],[object Object]

6- Foot Drop ,[object Object],[object Object],[object Object]

7- Infection ,[object Object],[object Object]

8- Iatrogenic Sciatic Nerve Injury ,[object Object],[object Object]

Iatrogenic Sciatic Nerve Injury ,[object Object],[object Object],[object Object],[object Object],[object Object]

10- Thromboembolism ,[object Object],[object Object],[object Object],[object Object],[object Object]

11. Heterotrophic ossification ,[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object]

Management of Hip Dislocations

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Management of Hip Dislocations