An inferior hip dislocation with an ipsilateral subtrochanteric fracture is an extremely rare occurrence. It is mostly due to high energy trauma. We report a case of right traumatic inferior hip dislocation associated with closed subtrochanteric fracture and contralateral closed distal third femur shaft fracture. Closed reduction was performed with joystick maneuver using a Schantz screw percutaneously into the femoral neck under general anesthesia. Subsequently, the ipsilateral and contralateral femur fractures were fixed in a standard manner with cephalomedullary nail and retrograde interlocking nail respectively. Postoperatively no traction was applied and the patient was advised for wheelchair ambulation. To our knowledge, this is the second reported case of an adult traumatic inferior hip dislocation with an ipsilateral closed subtrochanteric femur fracture.
Keywords: inferior hip dislocation, ipsilateral subtrochanteric fracture, closed reduction, traumatic
Introduction…show more content… Inferior hip dislocation with an ipsilateral subtrochanteric fracture is even rarer. It is commonly associated with high energy trauma. Inferior hip dislocation is further grouped into two types based on the injury mechanism: ischial and obturator. We report an adult case of right traumatic inferior hip dislocation of obturator type associated with ipsilateral closed subtrochanteric fracture and contralateral closed distal femur shaft fracture. To our knowledge, there is only one previously reported inferior hip dislocation associated with ipsilateral subtrochanteric femur