Open Hip Dislocation Through the Scrotum without Osseous Injury: A Case Report. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Snoap, Tyler; Habeck, Jason; Roberts, Jason
• Is Part Of: JBJS case connector. Volume 7:Issue 1(2017)
• Publication Date: 2017-01
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.16.00100
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 36-year-old bicyclist sustained an open anterior hip dislocation through the scrotum after being struck by 2 motor vehicles. There was no osseous injury present. The hip was irreducible by closed means and required open reduction via a Smith-Petersen approach. Postoperatively, the patient did not develop osteonecrosis of the femoral head but did have signs of mild osteoarthritis and heterotopic ossification. Conclusion: Open anterior hip dislocation into the scrotum is an exceedingly rare injury. Closed reduction can be attempted, but open intervention is often required. A Smith-Petersen approach allows visualization for reduction and does not violate the vascularity to the femoral head.