Irreducible traumatic posterior hip dislocation with entrapment and a buttonhole effect.
- Author:
Andre-Pierre UZEL
1
;
Ricardo BERTINO
;
Guy DACULSI
;
George-Yves LAFLAMME
Author Information
1. Department of Trauma and Orthopaedic Surgery, CHRU de Pointe-A-Pitre, 97159 Pointe-A-Pitre, Guadeloupe, France.
- Publication Type:Journal Article
- MeSH:
Acetabulum;
Bone Screws;
Femur Head;
Hip Dislocation;
surgery;
Humans;
Orthopedic Procedures
- From:
Chinese Journal of Traumatology
2011;14(6):367-370
- CountryChina
- Language:English
-
Abstract:
The authors reported the case of a 27-year-old man who sustained an irreducible postero-lateral traumatic dislocation of the hip with capsular and labral entrapment. Initial X-rays showed only a small acetabular fragment. After two attempts to reduce the hip with muscle paralysis under general anaesthesia failed, the patient was treated by immediate open reduction through a postero-lateral approach. Surgical exploration of the hip revealed a small osteochondral fragment attached to a large piece of labrum and capsule, clogging the acetabulum. The femoral head crossed over the torn capsule with a buttonhole effect. These elements were relieved, the bone fragment was fixed with a 2 mm screw and the capsule was repaired. At the 10-year follow-up, the functional outcome was excellent with a Harris score of 100 points and no signs of necrosis or osteoarthritis. The authors propose a literature review of this uncommon lesion.
