Femoral Head Dislocation (Posterior Hip Dislocation)

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Presentation transcript:

Femoral Head Dislocation (Posterior Hip Dislocation) Heritage College of Osteopathic Medicine Monday, 21 August 2017 Femoral Head Dislocation (Posterior Hip Dislocation) fotosearch.com/comp/LIF/LIF134/E501003.jpg 2006 Moore & Dalley COA limb shortened, flexed, & medially rotated www.fammed.washington.edu/ network/sfm/Orthorama/Hippose.jpg

Femoral Head Dislocation (Posterior Hip Dislocation) Heritage College of Osteopathic Medicine Monday, 21 August 2017 Femoral Head Dislocation (Posterior Hip Dislocation) flexion extension right-sided fracture/dislocation spiraling hip ligaments tighten & “screw” femur into hip on extension & slacken on flexion dislocation iliofemoral ligament fracture anterior view learningradiology.com/caseofweek/ caseoftheweekpix2006/cow195lg.jpg 2006 Moore & Dalley COA

Hip Fractures: Avascular Necrosis of Femoral Head Heritage College of Osteopathic Medicine Monday, 21 August 2017 Hip Fractures: Avascular Necrosis of Femoral Head 2006 Moore & Dalley COA

Hip Fractures: Avascular Necrosis of Femoral Head Heritage College of Osteopathic Medicine Monday, 21 August 2017 Hip Fractures: Avascular Necrosis of Femoral Head coronal T1 MRI subcapital fracture: greatest risk for AVN left subcapital fracture pertrochanteric fracture: less risk for AVN www.mypacs.net/repos/mpv3_repo/viz/full/650/32511.jpg www.gla.ac.uk/ibls/fab/tutorial/clinical/orhip.html

ACL-MCL-M Tear (“Unhappy Triad”) Heritage College of Osteopathic Medicine Monday, 21 August 2017 ACL-MCL-M Tear (“Unhappy Triad”) ant. cruciate lig. (ACL) med. collateral lig. (TCL) superior view med. &/or lat. meniscus (M) Note: Lateral meniscus is not usually included in “unhappy triad” but studies show it is often injured in acute ACL tears. posterior view 2006 Moore & Dalley COA

ACL-MCL-M Tear (“Unhappy Triad”) Heritage College of Osteopathic Medicine Monday, 21 August 2017 ACL-MCL-M Tear (“Unhappy Triad”) Anterior Drawer Sign 2006 Moore & Dalley COA www.fammed.washington.edu/network/sfm/Orthorama/ACLexam.mpg Click movie above to play

Bursae around Knee – Prepatellar Bursitis Heritage College of Osteopathic Medicine Monday, 21 August 2017 Bursae around Knee – Prepatellar Bursitis subcutaneous prepatellar suprapatellar subcutaneous prepatellar bursitis synovial capsule of knee joint gastrocnemius bursa semimembran- osus bursa subcutaneous infrapatellar anserine bursa popliteus bursa deep infrapatellar 2006 Moore & Dalley COA