Skip to main content

Advertisement

Log in

Are traumatic hip dislocations of the young and the elderly comparable: review of the literature from a recent case

  • Review Article
  • Published:
European Orthopaedics and Traumatology

Abstract

Traumatic hip dislocation is a condition mostly encountered among young patients. However, clinical series reported regularly cases among elderly. From those, it seems that traumatic hip dislocation in young and elderly patients have a different profile. We present the case of a traumatic hip dislocation in a patient of 81 years secondary to a fall from his height. No fracture occurred. The dislocation was reduced by external maneuvers 3 h after the trauma. At last follow-up of 1 year, the patient developed a secondary hip osteoarthritis despite any articular incongruence. From a review of the literature, we found that epidemiology, pathophysiology, and prognosis of traumatic dislocation of the hip in the elderly may be different than those in young subjects. Hence, we suggest that the two conditions should be separated.

Level of evidence: V. Expert opinion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Thompson VP, Epstein HC (1951) Traumatic dislocation of the hip; a survey of two hundred and four cases covering a period of twenty-one years. J Bone Joint Surg Am 33:746–78

    PubMed  Google Scholar 

  2. Stewart MJ, Milford LW (1954) Fracture-dislocation of the hip; an end-result study. J Bone Joint Surg Am 36:315–42

    CAS  PubMed  Google Scholar 

  3. Upadhyay SS, Moulton A, Burwell RG (1985) Biological factors predisposing to traumatic posterior dislocation of the hip. A selection process in the mechanism of injury. J Bone Joint Surg (Br) 67:232–6

    CAS  Google Scholar 

  4. Parker MJ, Palmer CR (1993) A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg (Br) 75:797–8

    CAS  Google Scholar 

  5. Merle D'Aubigné R (1990) Numerical classification of the function of the hip. 1970. Rev Chir Orthop Reparatrice Appar Mot 76:371–4

    PubMed  Google Scholar 

  6. Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16:494–502

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Hougaard K, Thomsen PB (1986) Traumatic posterior dislocation of the hip—prognostic factors influencing the incidence of avascular necrosis of the femoral head. Arch Orthop Trauma Surg 106:32–5

    Article  CAS  PubMed  Google Scholar 

  8. Hunter GA (1969) Posterior dislocation and fracture-dislocation of the hip. A review of fifty-seven patients. J Bone Joint Surg (Br) 51:38–44

    CAS  Google Scholar 

  9. Hougaard K, Lindequist S, Nielsen LB (1987) Computerised tomography after posterior dislocation of the hip. J Bone Joint Surg (Br) 69:556–7

    CAS  Google Scholar 

  10. Yang RS, Tsuang YH, Hang YS, Liu TK (1991) Traumatic dislocation of the hip. Clin Orthop Relat Res 265:218–27

    PubMed  Google Scholar 

  11. Proctor H (1973) Dislocations of the hip joint (excluding 'central' dislocations) and their complications. Injury 5:1–12

    Article  CAS  PubMed  Google Scholar 

  12. Lamke LO (1970) Traumatic dislocations of the hip. Follow-up on cases from the Stockholm area. Acta Orthop Scand 41:188–98

    Article  CAS  PubMed  Google Scholar 

  13. Sener M, Sener U, Yildiz M, Baki C (1997) Bilateral traumatic hip dislocation with bilateral sciatic nerve injury. Arch Orthop Trauma Surg 116:225–6

    Article  CAS  PubMed  Google Scholar 

  14. Alexa O, Cozma T, Puha B, Alexa ID (2012) Bilateral hip dislocation in a 79 years patient. Chirurgia (Bucur) 107:122–5

    CAS  Google Scholar 

  15. Montoya MJ, Giner M, Miranda C, Vázquez MA, Caeiro JR, Guede D, Pérez-Cano R (2014) Microstructural trabecular bone from patients with osteoporotic hip fracture or osteoarthritis: Its relationship with bone mineral density and bone remodelling markers. Maturitas 79:299–305

    Article  PubMed  Google Scholar 

  16. Franklin J, Englund M, Ingvarsson T, Lohmander S (2010) The association between hip fracture and hip osteoarthritis: a case-control study. BMC Musculoskelet Disord 11:274

    Article  PubMed Central  PubMed  Google Scholar 

  17. Robstad B, Frihagen F, Nordsletten L (2012) The rate of hip osteoarthritis in patients with proximal femoral fractures versus hip contusion. Osteoporos Int 23:901–5

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. Chudyk AM, Ashe MC, Gorman E, Al Tunaiji HO, Crossley KM (2012) Risk of hip fracture with hip or knee osteoarthritis: a systematic review. Clin Rheumatol 31:749–57

    Article  PubMed  Google Scholar 

  19. Chan MY, Center JR, Eisman JA, Nguyen TV (2014) Bone mineral density and association of osteoarthritis with fracture risk. Osteoarthritis Cartilage 22:1251–8

    Article  CAS  PubMed  Google Scholar 

  20. Watson-Jones (1982) Fracture and joint injuries, 6th edn. Churchill Livingtsone, London and New York

    Google Scholar 

  21. Allis OH (1896) An inquiry into the difficulties encountered in the reduction of dislocations of the hip. Dornan Printer, Philadelphia, p 85

    Google Scholar 

  22. Walden PD, Hamer JR (1999) Whistler technique used to reduce traumatic dislocation of the hip in the emergency department setting. J Emerg Med 17:441–4

    Article  CAS  PubMed  Google Scholar 

  23. Stimson BB (1939) A manual of fractures and dislocations. Lea and Febriger, Philadelphia, p 137

    Google Scholar 

  24. Howard CB (1992) A gentle method of reducing traumatic dislocation of the hip. Injury 23:481–2

    Article  CAS  PubMed  Google Scholar 

  25. Herwig-Kempers A, Veraart BE (1993) Reduction of posterior dislocation of the hip in the prone position. J Bone Joint Surg (Br) 75:328

    CAS  Google Scholar 

  26. Sahin V, Karakaş ES, Aksu S, Atlihan D, Turk CY, Halici M (2003) Traumatic dislocation and fracture-dislocation of the hip: a long-term follow-up study. J Trauma 54:520–9

    Article  PubMed  Google Scholar 

  27. Morton KS (1959) Traumatic dislocation of the hip: a follow-up study. Can J Surg 3:67–74

    Google Scholar 

  28. Vennits H (1960) Traumatic hip dislocation. Follow-up studies of 24 cases. Ugeskr Laeger 122:1082–4

    CAS  PubMed  Google Scholar 

  29. Epstein HC (1973) Traumatic dislocations of the hip. Clin Orthop Relat Res 92:116–42

    Article  PubMed  Google Scholar 

  30. Hougaard K, Thomsen PB (1987) Coxarthrosis following traumatic posterior dislocation of the hip. J Bone Joint Surg Am 69:679–83

    CAS  PubMed  Google Scholar 

  31. Brown TD, Johnston RC, Saltzman CL, Marsh JL, Buckwalter JA (2006) Posttraumatic osteoarthritis: a first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma 20:739–44

    Article  PubMed  Google Scholar 

  32. Yue JJ, Wilber JH, Lipuma JP, Murthi A, Carter JR, Marcus RE, Valentz R (1996) Posterior hip dislocations: a cadaveric angiographic study. J Orthop Trauma 10:447–54

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jean-Charles Aurégan.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gérosa, T., Aurégan, JC., Letellier, T. et al. Are traumatic hip dislocations of the young and the elderly comparable: review of the literature from a recent case. Eur Orthop Traumatol 6, 423–426 (2015). https://doi.org/10.1007/s12570-015-0335-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12570-015-0335-x

Keywords

Navigation