Superior Hip Dislocation with Rectus Bony Avulsion (Straight with reflected head): A Rare Case Report
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 7306-7310
Abstract
Superior dislocation of hip with rectus bony avulsion is a rare condition which mainly happens due to domestic fall and high velocity trauma of motor vehicle accidents. Rectus femoris avulsion fracture leads to pulling of fragment and it lies close to hip joint. X-ray will usually show the presence of the fragment near the hip joint. Avulsion injury of the rectus femoris usually results due to sudden powerful contraction of the muscles of rectus femoris or sometimes it can be due to sudden knee flexion with traction.Case Report: 41 Year old male developed pain in left hip area and unable to move the left hip joint after an episode of domestic fall. On Physical Examination tenderness was present in the left hip area with hip joint restricted range of motion. There was no distal neurovascular compromise. Patient was primarily immobilised using Thomas Splint. Imaging done using X rays and CT of the pelvis suggestive of superior dislocation of the hip with bony avulsion at the site of rectus insertion. Patient was planned for relocation of the hip with open reduction and internal fixation with cortico-cancellous screws.
Post operatively the limb was immobilised in Thomas splint for 3 weeks followed by start of Range of motion of the hip joint as per pain tolerance. Partial weight bearing was started after 3 months of the surgery.
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