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Hip, Hip, Hooray!

A 67-year-old male with a history of bilateral total hip arthroplasties (THA) several years ago presents with left hip pain after a fall. He was walking downstairs and slipped, twisting his leg internally and with adduction and flexion of the hip to catch himself. He denies falling but felt an immediate pop in his left hip and could no longer bear weight. 

Hip, Hip, Hooray!

Author: R. Conner Dixon, MD, CAQ-SM
Peer-Reviewer: Katie Dolbec, MD, CAQ-SM
Final Editor: Alex Tomesch, MD, CAQ-SM

A 67-year-old male with a history of bilateral total hip arthroplasties (THA) several years ago presents with left hip pain after a fall. He was walking downstairs and slipped, twisting his leg internally and with adduction and flexion of the hip to catch himself. He denies falling but felt an immediate pop in his left hip and could no longer bear weight. 

Image 1-2: AP and lateral view radiographs of the pelvis and left hip-Case courtesy of Dr Andrew Taylor, Radiopaedia.org, rID: 67457



References

[1] Masiewicz S, Mabrouk A, Johnson DE. Posterior Hip Dislocation. [Updated 2022 Feb 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459319/

[2] 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. doi:10.31486/toj.17.0079

[3] Waddell BS, Mohamed S, Glomset JT, Meyer MS. A Detailed Review of Hip Reduction Maneuvers: A Focus on Physician Safety and Introduction of the Waddell Technique. Orthop Rev (Pavia). 2016;8(1):6253. Published 2016 Mar 21. doi:10.4081/or.2016.6253

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