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Hip dislocation
مقاله تخصصی

Hip dislocation

3 months ago
195 بازدید
Dr. Mohammad Homan Kukbi

Dr. Mohammad Homan Kukbi

Tehran

Orthopedic specialist (bone and joint surgery)

Dislocation of the hip occurs when the head of the thigh bone (femur) dislodges from its socket (acetabulum)..it is a medical emergency..dislocation of the hip is a painful event in which the head of the femur dislocates from its socket. In the movement of the foot until it is corrected... It can also cause Secondary damage to blood vessels, nerves, ligaments, and surrounding tissues. Dislocation of the hip can cause long-term damage, especially if not treated promptly.. hip) occurs.... "Developmental dislocation of the hip" (DDH). be, so less force is needed to move the joint.... ### **What is partial dislocation of the hip joint (subluxation)? A subluxation is medically known as a subluxation..this happens when the head of the femur is partially out of its socket but not completely out of place..a subluxation can be mild or severe..almost as painful as a complete dislocation..professional help..milder cases can be caused by wear and tear of the hip joint when the cartilage that holds the joint in its socket It wears off.... that's possible chronic or recurrent....if you have a mild subluxation, you may still be able to walk and even be able to move the joint back into place with gentle stretches.... **Does hip pain mean a tear?** The hip joint is usually one of the safest joints in the body...unless you have an artificial hip joint or have hip dysplasia, hip dislocations require a lot of force....hip dislocations are very painful and debilitating and usually happen after a major injury....but if you have had a minor injury or your hip joint is worn and worn, you may have a subluxation.... If you feel that you are doing your hip joint, if you are moving your hip joint with weight, you will hear a noise. ### **What causes hip dislocation?** Hip dislocations are usually caused by traumatic injuries....it usually takes a lot of force to pull the hip joint out of its socket....a car accident is the most common cause....it can also occur from a severe fall, sports injury, or a work-related accident....If you or your child has a developmental dislocation of the hip (hip dysplasia), less force may be required to dislocate the hip..Normal activities include... ### **Dislocated hip how Is it? If you look at the injury from the outside, the first thing you will notice is that the leg is locked in a fixed position, so that it rotates inward or outward....about 90% of the time, the hip joint moves backward out of its socket (posterior dislocation) which causes the knee and leg to move inward....when the hip joint moves outward..they do a leg point outward....the rotation may be a shorter leg or It seems longer than the other leg.... You may notice that the hip joint is out of place, or you may notice swelling and discoloration in the thigh area... **What are the symptoms of hip dislocation?** - Severe pain - Muscle cramps - Swelling or discoloration in the hip joint area - Turning the foot in or out - Inability to move the leg - Inability to bear weight on the leg - Loss of feeling in the thigh or leg - Observing the movement of **thigh joint** **What are the possible consequences of hip dislocation?** A hip dislocation can damage nerves, blood vessels, and surrounding tissues that may require separate repairs. Sometimes these injuries can have long-term consequences, including: - **Nerve damage:** Joint dislocation can affect the sciatic nerve that runs from the back to the thigh and down the leg. The pressure on the nerve causes chronic pain, which is usually called sciatica. Damage to the sciatic nerve can impair the ability to bend the leg and toes.. When the blood supply to the bone is cut off and the blood supply to the legs is cut off, it forms which destroys the bone structure. This condition is known as osteonecrosis or osteonecrosis, avascular necrosis... - **Arthritis:** Dislocation of the hip joint can damage the cartilage that protects the head of the bone in its socket.... This condition often leads to arthritis and increases the likelihood of needing a hip replacement in the future.... **Diagnosis and tests** ### **How ​​is dislocation of the hip joint diagnosed?** Dr. Homan Cookby or other orthopedic specialists can usually diagnose a hip dislocation by observation....but they will also perform a thorough physical evaluation to check for other associated injuries....they may order imaging tests such as X-rays or CT scans to better assess the position of the bones and detect any fractures before fixing them.... **Management** and Treatment.. ### **How ​​is a hip dislocation treated?** - **IMMEDIATE CARE:** If you suspect a hip dislocation do not attempt to move it....call 911 and go to the emergency room....this injury is very painful and must be treated immediately to minimize long-term damage....hip replacement requires training, medication, and assistance and can only be safely performed after other associated injuries have been diagnosed....secondary injuries may also require surgery....if performed within the first few hours after the injury , repair is most successful.... - ** Hip replacement:** to correct a dislocation by physical displacement of the hip joint by Dr. Homan.. orthopedic specialist... known as reduction.. If there are no secondary injuries, the correction can be done externally ("closed reduction")... and muscle spasm is recommended during a slow process.... sometimes this is done under general anesthesia.... - ** Surgery:** If significant secondary injury If there is, a reduction may be done in the operating room, where the nerves and blood vessels can also be treated.. who have dislocations of the hip, especially due to hip dysplasia.. **Read more: Hip arthroscopy** ### **If you have an artificial hip** If your prosthetic hip is dislocated, surgery may be recommended...the implant may need to be replaced or reinforced... **Prevention** ### **How ​​do I prevent hip dislocation?** - **Safety:** Since hip dislocations usually occur as a result of accidents, following safety tips is the best way to prevent it....always wear a seat belt in the car and use protective equipment in contact sports....be careful when using ladders or work equipment....- **Strengthening exercises:** If you have already had a hip dislocation, you may be at risk of dislocating your hip.. Get physical therapy and regular exercise...hold on to the handrail when using the stairs and do it slowly when bending from the back.... ### **How long does it take to recover from a hip dislocation?** After a hip replacement, it may take two to three months for the hip to fully heal....Dr. Homan Cookby may recommend limiting the range of motion of the hip for the first few weeks, followed by physical therapy....you may need to use crutches to walk for the first few weeks..dislocated hip?** Early treatment increases the chance of a full recovery....Secondary injuries are common when hip dislocations occur due to blunt force trauma....If these injuries are not treated within hours, the risk of long-term complications from nerve and blood vessel damage increases....All hip dislocations weaken the muscles and ligaments that hold the joint in place and the cartilage in place from destroys.. whatever Left untreated, the joint becomes more unstable....this can increase the chance of subsequent dislocations....it also causes arthritis in the joint in about 50% of cases....arthritis may eventually lead to hip replacement, which increases the chance of re-dislocation....you may recover in the short term but the injury may **become a problem again in the future.. When the artificial hip joint dislocates, there may not be enough force to cause secondary injuries... But these dislocations carry another risk: the muscles may pull away from the implant and no longer hold it in place.. ### **Note from:** Don't joke about a hip dislocation..it is a medical emergency and short and long term recovery depends on immediate care..your hip dislocation is most likely caused by a traumatic injury. If it is, there are probably other injuries like fractures and tears.. but if you have an artificial hip, it can easily dislocate from something simple. Hip dislocation correction is equally important to relieve pain and restore function... Quality medical care will help you keep your hip as functional as possible... If you suspect a hip dislocation, don't hesitate to go to the emergency room...
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