PMC7085349_01
(a-c) Carousel (a); anteroposterior (b) and lateral (c) thigh X-rays showing the posterior luxated hip joint.
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They showed a posterior hip dislocation (Figures 1(b) and 1(c)).
PMC7085349_02
(a-c) Carousel (a); anteroposterior (b) and lateral (c) thigh X-rays showing the posterior luxated hip joint.
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fig1
They showed a posterior hip dislocation (Figures 1(b) and 1(c)).
(a, b) Clinical findings before reposition and postinterventional image intensifier a.p. radiograph showing the incomplete reduction with persisting subluxation.
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His right lower extremity was compared to the left side shortened and an internal rotation imposed (Figure 2(a)). The postinterventional radiograph revealed a remaining subluxation of the left hip (Figure 2(b)).
(a-c) Axial and coronal pd_tse_fs MRI pictures showing a type 1A lesion (Czerny classification) of the anterior-superior acetabular labrum and ruptured ligament of the femoral head.
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The scan showed a type 1A lesion (Czerny classification) of the anterior-superior acetabular labrum (Figures 3(a)-3(c)). Additionally, it revealed a complete rupture of the ligament of the femoral head and an incomplete avulsion of the gluteus medius and external obturator tendon as well as intra-articular fluid (Figure 3(b)).
(a-c) Intraoperative findings showing the Kocher-Langenbeck approach with interposition of the inferior labrum (a), the intact cartilage of the femoral head (b), and the reconstructed capsule and muscles (c).
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The cartilage surface was intact (Figures 4(a)-4(c)).
(a, b) Intraoperative X-rays showing the complete reduction in a.p. (a) and axial (b) view.
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(a-f) Clinical findings especially the range of motion two months after injury.
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The physical examination showed a symmetric pain-free range of motion of the right as well as the left hip and knee joint (Figures 6(a)-6(f)).