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.
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References
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
Stewart MJ, Milford LW (1954) Fracture-dislocation of the hip; an end-result study. J Bone Joint Surg Am 36:315–42
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
Parker MJ, Palmer CR (1993) A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg (Br) 75:797–8
Merle D'Aubigné R (1990) Numerical classification of the function of the hip. 1970. Rev Chir Orthop Reparatrice Appar Mot 76:371–4
Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16:494–502
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
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
Hougaard K, Lindequist S, Nielsen LB (1987) Computerised tomography after posterior dislocation of the hip. J Bone Joint Surg (Br) 69:556–7
Yang RS, Tsuang YH, Hang YS, Liu TK (1991) Traumatic dislocation of the hip. Clin Orthop Relat Res 265:218–27
Proctor H (1973) Dislocations of the hip joint (excluding 'central' dislocations) and their complications. Injury 5:1–12
Lamke LO (1970) Traumatic dislocations of the hip. Follow-up on cases from the Stockholm area. Acta Orthop Scand 41:188–98
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
Alexa O, Cozma T, Puha B, Alexa ID (2012) Bilateral hip dislocation in a 79 years patient. Chirurgia (Bucur) 107:122–5
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
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
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
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
Chan MY, Center JR, Eisman JA, Nguyen TV (2014) Bone mineral density and association of osteoarthritis with fracture risk. Osteoarthritis Cartilage 22:1251–8
Watson-Jones (1982) Fracture and joint injuries, 6th edn. Churchill Livingtsone, London and New York
Allis OH (1896) An inquiry into the difficulties encountered in the reduction of dislocations of the hip. Dornan Printer, Philadelphia, p 85
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
Stimson BB (1939) A manual of fractures and dislocations. Lea and Febriger, Philadelphia, p 137
Howard CB (1992) A gentle method of reducing traumatic dislocation of the hip. Injury 23:481–2
Herwig-Kempers A, Veraart BE (1993) Reduction of posterior dislocation of the hip in the prone position. J Bone Joint Surg (Br) 75:328
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
Morton KS (1959) Traumatic dislocation of the hip: a follow-up study. Can J Surg 3:67–74
Vennits H (1960) Traumatic hip dislocation. Follow-up studies of 24 cases. Ugeskr Laeger 122:1082–4
Epstein HC (1973) Traumatic dislocations of the hip. Clin Orthop Relat Res 92:116–42
Hougaard K, Thomsen PB (1987) Coxarthrosis following traumatic posterior dislocation of the hip. J Bone Joint Surg Am 69:679–83
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
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
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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
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DOI: https://doi.org/10.1007/s12570-015-0335-x