Traumatic Posterior Hip Dislocation in an Adolescent Football Player: A Case Report
Presentation Type
Poster Presentation
Category
STEM (science, technology, engineering, mathematics)
Abstract/Artist Statement
Background: Hip dislocations tend to be an uncommon injury. The most common mechanism of injury is a motor vehicle accident, causing up to 70% of all hip dislocations. While these traumatic injuries are uncommon in sports, American football tops the list for highest occurrence rate. In the event of a posterior hip dislocation, the patient presents with the corresponding leg in dramatic internal rotation, adduction, and slight knee flexion, comprising the majority of reported hip dislocations, around 70-80%.
Patient: This case report discusses a 15-year-old male football athlete who sustained a posterior hip dislocation while being tackled during a football game. He immediately stated that he was unable to move his leg and was experiencing immense pain.
Intervention or Treatment: The patient was taken to a local hospital where a 3D CT was performed and ruled out a fracture. The joint was then reduced under general anesthesia. The athlete was discharged and told to schedule a follow up appointment for an MRI, which revealed minimal soft tissue damage. Conservative management was recommended and the athlete was prescribed physical therapy.
Outcomes: Complete resolution of signs and symptoms occurred following reduction of posterior hip dislocation. Immediate recognition by the athletic trainer of a posterior hip dislocation following a high-energy collision resulted in appropriate on field management. Acutely evaluating neurovascular status of the limb following traumatic hip dislocation is critical for limb preservation.
Conclusions: Posterior hip dislocations rarely occurs in sports; however, due to adequate preparedness, timely activation of the emergency action plan allowed for the best possible outcome for this patient.
Mentor Name
Valerie Moody
Traumatic Posterior Hip Dislocation in an Adolescent Football Player: A Case Report
UC North Ballroom
Background: Hip dislocations tend to be an uncommon injury. The most common mechanism of injury is a motor vehicle accident, causing up to 70% of all hip dislocations. While these traumatic injuries are uncommon in sports, American football tops the list for highest occurrence rate. In the event of a posterior hip dislocation, the patient presents with the corresponding leg in dramatic internal rotation, adduction, and slight knee flexion, comprising the majority of reported hip dislocations, around 70-80%.
Patient: This case report discusses a 15-year-old male football athlete who sustained a posterior hip dislocation while being tackled during a football game. He immediately stated that he was unable to move his leg and was experiencing immense pain.
Intervention or Treatment: The patient was taken to a local hospital where a 3D CT was performed and ruled out a fracture. The joint was then reduced under general anesthesia. The athlete was discharged and told to schedule a follow up appointment for an MRI, which revealed minimal soft tissue damage. Conservative management was recommended and the athlete was prescribed physical therapy.
Outcomes: Complete resolution of signs and symptoms occurred following reduction of posterior hip dislocation. Immediate recognition by the athletic trainer of a posterior hip dislocation following a high-energy collision resulted in appropriate on field management. Acutely evaluating neurovascular status of the limb following traumatic hip dislocation is critical for limb preservation.
Conclusions: Posterior hip dislocations rarely occurs in sports; however, due to adequate preparedness, timely activation of the emergency action plan allowed for the best possible outcome for this patient.