PMC8486406_01
Plain film radiograph of left hip demonstrating posterior dislocation
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Cross-table plain film radiograph of left hip following dislocation.
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The left hip was reduced (Figures 2A-B) and the subject was instructed to be non-weight-bearing on the left lower extremity with bilateral axillary crutches for two weeks, followed by adding 25% weightbearing each week thereafter to weight bearing as tolerated while maintaining standard posterior hip precautions (no hip flexion greater than 90 , no hip adduction, no hip internal rotation) for a total of six weeks.
Coronal T1 - eight months post-injury with subchondral marrow edema (large bracket), femoral head cartilage defect (small bracket), and inflammation throughout the joint capsule (arrows).
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There was additional full thickness cartilage delamination with chondral flap posterior and inferior to the osteochondral lesion of 6x6 mm along with a partial thickness, non-detached tear of the anterior labrum, which extended superiorly to the anterosuperior labrum (Figures 3A-B).
magnetic resonance arthrogram, sagittal proton density weighted fat suppressed view, eight months post dislocation with femoral head cartilage lesion (bracket), anterior labral pathology (large arrow), and synovial inflammation (small arrows).
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Figure 4 details the full course from injury to return to sport the next season.