2.  27 yo male p/w hip pain
s/p MVC with right knee
striking the dashboard,
no other complaints
 T 99.7 P 109 BP 117/62
O2 100%
 Gen: moderate distress
 CV: RRR, no m/r/g
 Ext: right leg internally
rotated and shortend.
N/V/I

5.  First rule out Femoral Neck frx before reduction
 Posterior
 Reduction (<8 hours): Stimson method or
traction/countertraction
 Consider post-reduction CT to rule out posterior wall frx
(determines stability)
 Ipsilateral knee involvement in ~25% of injuries 
careful exam
 Reduce  immobilize in slight abduction  admit for
pain control and immobilization (may require 2 wks)

6.  Internally rotated and shortened
 Associated Injuries
 Sciatic n. 10-30%
 Femoral head/neck 36%
 Avascular Necrosis in up to ~15%
 Risk of AVN is decreased with prompt reduction
 S/P closed reduction  flex hip to 90 deg (if dislocates
 unstable and reqires open reduction)

7.  http://www.feinberg.northwestern.edu/emergencyme
d/residency/ortho-teaching/pelviship/case3/case3background.html
 http://imaging.consult.com/image/topic/dx/Musculos
keletal?title=Hip%20Dislocation,%20Anterior&image
=fig1&locator=gr1&pii=S1933-0332(06)70930-2
 http://emedicine.medscape.com/article/823471treatment#a1126
 Simon, Robert, and Scott Sherman. Emergency
Orthopedics. New York: McGraw Hill, 2011. 6th Ed.