Review| Volume 41, ISSUE 4, P329-334, April 2010

Hip dislocations—Epidemiology, treatment, and outcomes


      Traumatic dislocations of the hip appear to be on the rise in North America. Multidetector CT, hip arthroscopy, and high field MRI have further defined the pathoanatomy of hip dislocations. They can be divided into simple and complex dislocations. At the University of Louisville, an algorithm has been developed to facilitate rapid and accurate diagnosis and treatment of simple hip dislocations. In contrast to the treatment of simple hip dislocations, the treatment of complex hip dislocations (fracture-dislocations) is generally predicated on specific treatments of the associated fracture (e.g., femoral head fracture, femoral neck fracture, acetabular fracture, etc.). This review includes the mechanism of injury, epidemiology, associated injuries, evaluation, treatment, and functional outcomes of simple hip dislocations.


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        • Alonso J.E.
        • Volgas D.A.
        • Giordano V.
        • Stannard J.P.
        A review of the treatment of hip dislocations associated with acetabular fractures.
        Clin Orthop Rel Res. 2000; : 32-43
        • Arvidsson I.
        The hip joint: forces needed for distraction and appearance of the vacuum phenomenon.
        Scand J Rehabil Med. 1990; 22: 157-161
        • Beaulé E.P.
        • O’Neill M.
        • Rakhra K.
        Acetabular labral tears.
        J Bone Joint Surg. 2009; 91: 701-710
        • Brooks R.A.
        • Ribbans W.J.
        Diagnosis and imaging studies of traumatic hip dislocations in the adult.
        Clin Orthop Rel Res. 2000; : 15-23
        • Cash D.J.W.
        • Nolan J.F.
        Avascular necrosis of the femoral head 8 years after posterior hip dislocation.
        Injury. 2007; 38: 865-867
        • Cornwall R.
        • Radomisli T.E.
        Nerve injury in traumatic dislocation of the hip.
        Clin Orthop Rel Res. 2000; : 84-91
        • DeLee J.C.
        Fractures and dislocations of the hip.
        in: Rockwood Jr., C.A. Green D.P. Bucholz R. Fractures in adults. 4th ed. Lippincott-Raven, Philadelphia1996: 1756-1803
        • Dreinhöfer K.E.
        • Schwarzkopf S.R.
        • Haas N.P.
        • Tscherne H.
        Isolated traumatic dislocation of the hip. Long-term results in 50 patients.
        J Bone Joint Surg Br. 1994; 76: 6-12
        • Epstein H.C.
        Traumatic dislocation of the hip.
        Williams & Wilkins, Baltimore, MD1980
        • Erb R.E.
        • Steele J.R.
        • Nance Jr., E.P.
        • Edwards J.R.
        Traumatic anterior dislocation of the hip: spectrum of plain film and CT findings.
        Am J Roentgenol. 1995; 165: 1215-1219
        • Evans C.H.
        • Mazzocchi R.A.
        • Nelson D.D.
        Experimental arthritis induced by intraarticular injection of allogenic cartilaginous particles into rabbit knees.
        Arthritis Rheum. 1984; 27: 200-208
        • Goulet J.A.
        Hip dislocations.
        in: Browner B.D. Jupiter J. Levine A.M. Trafton P.G. Krettek C. Skeletal trauma. 4th ed. WB Saunders, Philadelphia2009: 1781-1817
        • Hak D.J.
        • Goulet J.A.
        Severity of injuries associated with traumatic hip dislocation as a result of motor vehicle collisions.
        J Trauma. 1999; 47: 60-63
        • Hillyard R.F.
        • Fox J.
        Sciatic nerve injuries associated with traumatic posterior hip dislocations.
        Am J Emerg Med. 2003; 21: 545-548
        • Holt G.E.
        • McCarty E.C.
        Anterior hip dislocation with an associated vascular injury requiring amputation.
        J Trauma. 2003; 55: 135-138
        • Ito K.
        • Leunig M.
        • Ganz R.
        Histopathologic features of the acetabular labrum in femoroacetabular impingement.
        Clin Orthop Rel Res. 2004; : 262-271
        • Jaskulka R.A.
        • Fischer G.
        • Fenzl G.
        Dislocation and fracture-dislocation of the hip.
        J Bone Joint Surg Br. 1991; 73: 465-469
        • Kelly B.T.
        • Weiland D.E.
        • Schenker M.L.
        • et al.
        Arthroscopic labral repair in the hip: surgical technique and review of the literature.
        Arthroscopy. 2007; 21: 1496-1504
        • Laorr A.
        • Greenspan A.
        • Anderson M.W.
        • et al.
        Traumatic hip dislocation: early MRI findings.
        Skeletal Radiol. 1995; 24: 239-245
        • Lefkowitz M.
        A new method for reduction of hip dislocations.
        Orthop Rev. 1993; 22: 253-256
        • Marya S.K.
        • Samuel A.W.
        Piggy back technique for relocation of posterior dislocation of the hip.
        Injury. 1994; 25: 483-484
        • Monma H.
        • Sugita T.
        Is the mechanism of traumatic posterior dislocation of the hip a brake pedal injury rather than a dashboard injury?.
        Injury. 2001; 32: 221-222
        • Mullis B.H.
        • Dahners L.E.
        Hip arthroscopy to remove loose bodies after traumatic dislocation.
        J Orthop Trauma. 2006; 20: 22-26
        • Owens B.D.
        • Busconi B.D.
        Arthroscopy for hip dislocation and fracture-dislocation.
        Am J Orthop. 2006; 35: 584-587
        • Pape H.C.
        • Rice J.
        • Wolfram K.
        • et al.
        Hip dislocation in patients with multiple injuries: a followup investigation.
        Clin Orthop Rel Res. 2000; : 99-105
        • Philippon M.
        • Schenker M.
        • Briggs K.
        • Kuppersmith D.
        Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression.
        Knee Surg Sports Traumatol Arthrosc. 2007; 15: 908-914
        • Poggi J.J.
        • Callaghan J.J.
        • Spritzer C.E.
        • Roark T.
        Goldner RD: changes on magnetic resonance images after traumatic hip dislocation.
        Clin Orthop Rel Res. 1995; 319: 249-259
        • Pringle J.H.
        Traumatic dislocation at the hip joint. An experimental study in the cadaver.
        Glasgow Med J. 1943; 21: 25-40
        • Sahin V.
        • Karakaş E.S.
        • Aksu S.
        • et al.
        Traumatic dislocation and fracture-dislocation of the hip: a long-term follow-up study.
        J Trauma. 2003; 54: 520-529
        • Schafer S.F.
        • Anglen J.O.
        The East Baltimore lift: a simple and effective method for reduction of posterior hip dislocation.
        J Orthop Trauma. 1999; 13: 56-57
        • Schmidt G.L.
        • Sciulli R.
        • Altman G.T.
        Knee injury in patients experiencing a high-energy traumatic ipsilateral hip dislocation.
        J Bone Joint Surg Am. 2005; 87: 1200-1204
        • Tabuenca J.
        • Truan J.R.
        Knee injuries in traumatic hip dislocation.
        Clin Orthop Relat Res. 2000; : 78-83
        • Thompson V.P.
        • Epstein H.C.
        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. 1951; 33-A: 746-778
        • Tornetta P.
        • Hamid M.R.
        Hip dislocation: current treatment regimens.
        J Am Acad Orthop Surg. 1997; 5: 27-36
        • Upadhyay S.S.
        • Moulton A.
        • Burwell R.G.
        Biological factors predisposing to traumatic posterior dislocation of the hip. A selection process in the mechanism of injury.
        J Bone Joint Surg Br. 1985; 67: 232-236
        • Upadhyay S.S.
        • Moulton A.
        • Srikrishnamurthy K.
        An analysis of the late effects of traumatic posterior dislocation of the hip without fractures.
        J Bone Joint Surg Br. 1983; 65: 150-152
        • Yang E.C.
        • Cornwall R.
        Initial treatment of traumatic hip dislocations in the adult.
        Clin Orthop Rel Res. 2000; : 24-31