Hip

Disloc
ation
Presented By:
Lady Diane Cabriga
BSN-III
Hip Dislocation
• A Hip Dislocation is a painful and traumatic
injury that occurs, when the head of the
thigh bone is forced out of the socket of the
hip joint, either partially or completely.
The dislocations may either be;
i. Anterior Hip Dislocations. Femoral head
situated anterior to acetabulum. Most
commonly caused by impact of dashboard
knee
ii. Posterior Hip Dislocations. Axial load on
femur, typically with hip flexed and
adducted.
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Pharmaceuticals

https://www.hss.edu/condition-list_hip-dislocation.asp
 Anatomy of the
Hip at the Joint
• The hip joint is a ball-and-socket joint. The
ball, top of the femur (thighbone) is
called the femoral head. The socket, called
the acetabulum, is a part of the pelvis. The
ball rotates in the socket, allowing the leg to
move forward, backward, and sideways.
Smooth cartilage lines the ball and the
socket help them glide together and secure
the joint.
• In most hip dislocations, the femoral head of
the thighbone is forced out of the acetabulum
toward the rear (posterior dislocation). Less
often, the displaced ball is pushed out forward
from the pelvis (anterior dislocation).
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Pharmaceuticals
https://www.hss.edu/condition-list_hip-dislocation.asp
 Causes
• Direct trauma to the hip, due to an automobile
accident
• Taking part in any rough or high-impact sport
• Falling from a significant height; especially landing
on one’s hip/side (or the injury occurring since the
individual is overweight)

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Pharmaceuticals
https://www.dovemed.com/diseases-conditions/hip-dislocation/
 Signs and Symptoms
• Severe pain in the hip
• Noticeable bruising, swelling
• Decreased range of motion of the hip
• Visible deformity of the hip joint.

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Pharmaceuticals
https://www.dovemed.com/diseases-conditions/hip-dislocation/
 Complications
• Permanent damage to nerves and blood vessels
• Recurrent hip dislocations (chronic hip instability)
• Degenerative joint disease (osteoarthritis)
• Temporary or permanent disruption of blood supply to the
bone, which causes cells within the affected bone to die (a
condition termed as osteonecrosis, or avascular necrosis of
femoral head)

Contoso
Pharmaceuticals
https://www.hss.edu/condition-list_hip-dislocation.asp
 Risk Factors
• Participation in high-risk contact sports, such as football, soccer,
rugby
• Individuals with history of a previous hip replacement surgery
• Studies have indicated that Hip Dislocations may have a genetic
component
• Excessive consumption of alcohol increases the risk of fall injuries
• Poor muscle control or weakness in the hip, resulting in falls

Contoso
Pharmaceuticals
https://www.dovemed.com/diseases-conditions/hip-dislocation/
 Diagnosis
• Physical examination: A physician will perform a thorough physical examination of the
leg and hip.
• X-ray: An X-ray of the hip joint is a common method of evaluating a Hip Dislocation. This
diagnostic test helps provide a clear image of the dislocation, shows if any bones are
broken, and is useful in identifying any other damage to the hip joint
• CT scan: A CT scan takes a series of x-ray images from several different angles. These
images are then merged to create cross-sectional images of the bones and soft tissues of
the body. This allows a physician to examine the hip joint and surrounding structures of
the body
• MRI: An MRI is a more detailed scan that uses a magnetic field to produce images that
allow a physician to view any damage to the bones and soft tissue, which surrounds the
hip joint.

Contoso
Pharmaceuticals
https://www.dovemed.com/diseases-conditions/hip-dislocation/
 Treatment
Nonsurgical treatment measures include:
• Physical therapy exercises.
• Non-steroidal anti-inflammatory oral medications, such as indomethacin and naproxen,
may be used to treat a Hip Dislocation. These medications can help decrease the pain and
swelling
• Hip Spica Cast/ Posterior Mold
Surgical treatment measures include:
• Closed reduction: is a surgical treatment method that is used to realign the hip joint, back to
its original position without making an incision. This procedure can be performed under
general anesthesia, spinal anesthesia, or through conscious sedation with muscle relaxants
• Open reduction and internal fixation (ORIF): is a surgical procedure to realign the fractured
bone, to its original position. Surgical hardware (such as plates, screws, or rods) is then used to
stabilize the fractured bone under the skin. This procedure is only required, if any bones are
also broken
Contoso
Pharmaceuticals
https://www.dovemed.com/diseases-conditions/hip-dislocation/
 Nursing Management
• The nurse and physical therapy will educate and
demonstrate to the patient post-opt exercises to increase
mobilization.
• The nurse will educate the patient how to correctly how to
use the trochanter roll to help hip alignment.
• The nurse will educate the patient how to properly change
positions to relieve pressure with a little pain possible.
• The nurse will educate the patient how to properly use
trapeze bar when transferring in bed.
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Pharmaceuticals
https://www.registerednursern.com/nursing-care-plan-for-hip-
fracture/
Than
k
You
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Pharmaceuticals