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hip dislocation

Printed From: CyberPT - Your Online Physical Therapy Resource
Category: Patient Forum
Forum Name: Hip, Buttock & Groin Injuries/Conditions
Forum Description: Patients can post questions and experiences about hip, buttock & groin injuries/conditions.
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=798
Printed Date: Nov 25 2024 at 12:09am
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Topic: hip dislocation
Posted By: sara
Subject: hip dislocation
Date Posted: Jan 25 2011 at 2:24pm
Hi there,

4 weeks ago i had an accident where my hip got dislocated.
It was dislocated for 4 hours till they repositioned it in the hospital.

The docter told me that i could never do stuff like bending over to pick something from the ground anymore.. And that i would suffer from hipnecrosis (i am only 30)

I understand that when someone dislocate their hip the ligamentus teres femoris is torn (forever).. But i also understand from a previous post here that that ligament is not the one that holds the head in the socket.. And there are also 2 ligaments left, how could the doc see that those were torn too? And can (stretched) ligaments heal?

I am very scared now of dislocating the hip again, what are the changes? What can i and can't i do anymore?

Any people here with the same thing?

thanks Sara (Holland)



Replies:
Posted By: Ask a PT
Date Posted: Jan 26 2011 at 11:33am

How did you dislocate your hip – car accident, fall, sport, etc? What did your doctor classify your dislocation as (ie. Type I, II, III, IV)? What kind of hip dislocation did you sustain – anterior or posterior. Posterior dislocations are the most of the two types of dislocations. With a posterior dislocation the iliofemoral ligament is most commonly injured. Did your Dr. tell you that your ligamentum teres femoris was completely torn? You are correct that this ligament isn’t responsible for the overall stability at the hip joint and it is actually removed when an individual undergoes a total hip replacement and these patients do quite well. For stability, there are 4 other ligaments at the hip which when joined together along with the angulation of the proximal femur in relation to the acetabulum (socket), makes dislocation of the hip joint difficult. 

Did you have any imaging of your hip performed such as a radiograph (pre and post) or MRI (pre/post)? The radiograph will show how your hip is lined up and also display any fractures or loose fragments. The MRI will reveal any damage to the labrum, cartilage or capsular ligaments. In some cases a MRI will also be performed of the hip a few weeks later after the dislocation to look for avascular necrosis of the femoral head. 

At 30 years old, and if you only sustained a type I dislocation, I would think you should be able to achieve your prior level of function. Have you inquired with your doctor about participating in physical therapy? Working with a PT for strengthening, range of motion and functional training may help with decreasing the likelihood of a recurrence. The PT will also be able to monitor you and refer you for further medical attention/imaging if he/she suspects a problem including avascular necrosis.



Posted By: sara
Date Posted: Feb 09 2011 at 7:25am
i'm late with replying because i didnt allow myself to look stuf up about my hip on the internet anymore because it's driving me crazy and i get confused reading a lot of contradictionary things..

My Dr didnt said what type it was. I suppose it was a Type I as nothing is broken (only a minor chip from the socket)..

It was also a "clean" posterior dislocation and it happened during a snowballfight-tackle (how absurd)

I didnt know there were 5 ligaments in total that hold my hip together. Tomorrow i'm gonna have a talk with my Dr and next week some PT

thank you for your re-assuring words



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