A 48-year-old female presents to the emergency department after a high-speed motor vehicle collision (MVC). She is complaining of left hip pain. Her radiographs are shown (Image 1 courtesy of Dr Ayaz Hidayatov, Radiopaedia.org, rID: 52760). What is your diagnosis? What is the likely mechanism of injury? What physical exam findings are expected? What is your management in the emergency department and when should you consult orthopedics?
REFERENCES
- Clegg TE, Roberts CS, Greene JW, Prather BA. Hip dislocations–epidemiology, treatment, and outcomes. Injury. 2010;41(4):329-334. PMID: 19796765
- Stapczynski, JS, Tintinalli, JE. Hip and Femur Injuries. In Tintinalli’s emergency medicine: A comprehensive study guide, 8th Edition. New York, NY: McGraw-Hill Education; 2016: 1853-1854
- Beebe MJ, Bauer JM, Mir HR. Treatment of Hip Dislocations and Associated Injuries: Current State of Care. Orthop Clin North Am. 2016;47(3):527-549. PMID: 27241377
- Foulk DM, Mullis BH. Hip dislocation: evaluation and management. J Am Acad Orthop Surg. 2010;18(4):199-209. PMID: 20357229
- Masiewicz S, Johnson DE. Posterior Hip (Femur) Dislocation. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2020. PMID: 29083669
- Dawson-Amoah K, Raszewski J, Duplantier N, Waddell BS. Dislocation of the Hip: A Review of Types, Causes, and Treatment. Ochsner J. 2018;18(3):242-252. PMID: 30275789
Author information
The post SplintER Series: Hip Pain Following an MVC appeared first on ALiEM.