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Update review and clinical presentation in adult inferior dislocation of hip

  • General Review • HIP - TRAUMA
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Inferior dislocation of the hip is a rare clinical entity, wherein closed reduction maneuver could be challenging, especially if the attending surgeon is not familiar with the specific anatomy associated with this injury. Due to the rarity of this type of injury, large case series are lacking in the literature; hence, case reports form the major source of our knowledge regarding the clinical presentation and management. An extensive literature search revealed a change in age group presenting with this specific injury, with a male predilection. They were frequently cited in the pediatric age group of less than 16 years in the last century. Recently, the cases have been documented in adults. An up-to-date review of the current literature on the mechanism of injury, clinical presentation, management, outcomes and complications of inferior dislocation of hip has been highlighted in this article. In addition, we share our experience with three such dislocations presenting in adult males with an age range of 38–62 years.

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References

  1. Mauck H, Anderson R (1935) Infracotyloid dislocation of the hip. J Bone Joint Surg 17:1011–1013

    Google Scholar 

  2. Sarankutty M (1967) Traumatic inferior dislocation of the hip (luxation erecta) in a child. J Bone Jt Surg Br 49:145

    Google Scholar 

  3. Rao JP, Read RB (1975) Luxatio erecta of the hip. An interesting case report. Clin Orthop 110:137–138

    Article  Google Scholar 

  4. Abad Rico JI, Barquet A (1982) Luxatio erecta of the hip: a case report and review of literature. Arch Orthop Trauma Surg 99:277–279

    Article  CAS  PubMed  Google Scholar 

  5. Beauchescne R, Kruse R, Stanton RP (1994) Inferior dislocation (luxation erecta) of the hip. Orthopaedics 17:72–75

    Google Scholar 

  6. Brogdon BG, Woolridge DA (1997) Luxatio erecta of the hip: a critical retrospective. Skelet Radiol 26:548–552

    Article  CAS  Google Scholar 

  7. Eddy RJ, Read RB (1988) Luatio erecta of the hip (letter). AJR 151:412

    Article  CAS  PubMed  Google Scholar 

  8. Bartley RE III, Dimon JH III (1995) Traumatic inferior hip dislocation in an adult (luxatio erecta). Orthopaedics 18:1173–1174

    Google Scholar 

  9. Ferguson KL, Harris VV (2000) Inferior hip dislocation in an adult; does a rare injury now have a common mechanism? Am J Emerg Med 18:117–118

    Article  CAS  PubMed  Google Scholar 

  10. Lamberti PM, Rabin SI (2003) Open anterior-inferior hip dislocation. J Orthop Trauma 17:65–66

    Article  PubMed  Google Scholar 

  11. Kolar MK, Joseph S, McLaren A (2011) Luxatio erecta of the hip. J Bone Joint Surg Br 93:273

    Article  CAS  PubMed  Google Scholar 

  12. Aggarwal S, Kumar V, Bhagwat KR, Shashikanth VS, Ravikumar HS (2012) Inferior dislocation of the hip: a case series and literature review. Chin J Traumatol 15:317–320

    PubMed  Google Scholar 

  13. Bhagwat KR, Garg B, Aggarwal S, Dhillon MS (2012) Bilateral inferior dislocation of the hip—a case report. Chin J Traumatol 15:121–123

    PubMed  Google Scholar 

  14. Tawari AA, Bahuva VD, Goregaonkar AB, Subaraman R (2013) A rare case of open anterior hip dislocation. J Surg Case Rep 1:rjs035

    Google Scholar 

  15. Walther MM, McCoin NS (2013) Luxatio erecta of the hip. J Emerg Med 44(5):985–986

    Article  PubMed  Google Scholar 

  16. Yang JH, Pandher DS, Oh KJ (2014) Fracture of the greater trochanter during closed reduction of obturator type hip dislocation. Hip Pelvis 26(4):275–278

    Article  PubMed  PubMed Central  Google Scholar 

  17. Hani R, Kharmaz M, Berrada MS (2015) Traumatic obturator dislocation of the hip joint: a case report and review of the literature. Pan Afr Med J 21:55

    PubMed  PubMed Central  Google Scholar 

  18. Karaarslan AA, Acar N, Karci T, Sesli E (2016) A bilateral traumatic hip obturator dislocation. Case Rep Orthop 2016:3145343

    PubMed  PubMed Central  Google Scholar 

  19. Tekin AÇ, Çabuk H, Büyükkurt CD, Dedeoğlu SS, İmren Y, Gürbüz H (2016) Inferior hip dislocation after falling from height: a case report. Int J Surg Case Rep 22:62–65

    Article  PubMed  PubMed Central  Google Scholar 

  20. Avery DM III, Carolan GF (2013) Traumatic obturator hip dislocation in a 9 year old boy. Am J Orthop 42:E81–E83

    PubMed  Google Scholar 

  21. Yamamoto K, Ko M, Masaoka T, Shishido T, Imakiire A (2004) Traumatic anterior dislocation of the hip associated with ipsilateral femoral shaft fracture in a child: a case report. J Orthop Surg (Hong Kong) 12(1):126–132

    Article  CAS  Google Scholar 

  22. Barquet A (1979) Traumatic hip dislocation in childhood: a report of 26 cases and review of literature. Acta Orthop Scand 50:549–553

    Article  CAS  PubMed  Google Scholar 

  23. Brav EA (1962) Traumatic dislocation of the hip: army experience and results over a twelve-year period. J Bone Joint Surg Am 44:1115–1134

    Article  Google Scholar 

  24. Singh R, Sharma SC, Goel T (2006) Traumatic inferior hip dislocation in an adult with ipsilateral trochanteric fracture. J Orthop Trauma 20:220–222

    Article  PubMed  Google Scholar 

  25. De Lee JC, Evans JA, Thomas J (1980) Anterior dislocation of the hip and associated femoral-head fractures. J Bone Joint Surg Am 62:960–964

    Article  Google Scholar 

Download references

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Correspondence to Balaji Saibaba.

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Syam, K., Saibaba, B., Aggarwal, S. et al. Update review and clinical presentation in adult inferior dislocation of hip. Eur J Orthop Surg Traumatol 27, 1039–1044 (2017). https://doi.org/10.1007/s00590-017-1918-8

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  • DOI: https://doi.org/10.1007/s00590-017-1918-8

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