Podcast 652: Prosthetic Hip Dislocation

5:40
 
Share
 

Manage episode 288601889 series 1397179
By medicalminute and Emergency Medical Minute. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Contributor: Jared Scott, MD

Educational Pearls:

  • While it is rare to have a native hip dislocation, it is relatively common to dislocate a prosthetic hip
  • The mechanism for dislocation is usually adduction, flexion, and internal rotation the hip which can occur when walking
  • Arthroplasty in the setting of trauma or fracture, posterior approach during surgery, and using a small femoral head increase the likelihood of later dislocation
  • If a patient with a total hip arthroplasty says they were walking and then developed hip pain, do not discount a potential dislocation

References

Zahar A, Rastogi A, Kendoff D. Dislocation after total hip arthroplasty. Curr Rev Musculoskelet Med. 2013;6(4):350-356. doi:10.1007/s12178-013-9187-6

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD

809 episodes