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4 Cards in this Set
- Front
- Back
Which is not true for hip dislocation?
a. 90% are posterior dislocation b. Classicically shortened, external rotated and adducted in posterior dislocation c. Associated with 10 % of sicatic injury in trauma patient d. 70% occur post prothesis e. complication include avascular necrosis and arthritis |
b. internal rotated in posterior dislocation and external rotated in anterior dislocation
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Reduction of posterior hip dislocation - Allis menoeuvre:
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- operator stand on bed
- assistant hold down pelvis over ant iliac crests - hip and knee flexed to 90 degree - grasped pts ankle to provide traction - axial traction applied behind knee w increase force & rocking motion - additional lateral traction to proximal femur optional |
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Classification of NOF fracture
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Intra capsular: (poor vascularity)
- capital - subcapital - trans cervical Extracapsular: - Intertrochanteric - Pre trochanteric |
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Garden classification (intracapsular fracture)
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1 - trabeculae angulated, non-displaced
2 - fracture completed, cortex broken, non displace 3 - femoral head abducted, internally rotated, mild displaced 4. - fully displaced (3&4 poor prognosis, 1&2 although had up to 20% of avascular necrosis) |