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Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 15-17 | Brijesh Sharma, Yajuvendra Kumar Sharma, Rohit Yadav, Chandra Prakash Pal DOI-10.13107/ti.2021.v07i02.019 Author: Brijesh Sharma [1], Yajuvendra Kumar Sharma [1], Rohit Yadav [1], Chandra Prakash Pal [1] [1] Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India. Address of Correspondence Dr. Chandra […]

Sideswipe Injury to the Leg – A Hefty Price for an Autorickshaw Ride: A Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 12-14 | Devender Kasotya, Nishant Bhatia, Rajeev Yadav, Dhananjay Sabat DOI-10.13107/ti.2021.v07i02.018 Author: Devender Kasotya [1], Nishant Bhatia [1], Rajeev Yadav [1], Dhananjay Sabat [1] [1] Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India. Address of Correspondence Dr. […]

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Sideswipe Injury to the Leg – A Hefty Price for an Autorickshaw Ride: A Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

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Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 15-17 | Brijesh Sharma, Yajuvendra Kumar Sharma, Rohit Yadav, Chandra Prakash Pal

DOI-10.13107/ti.2021.v07i02.019

Author: Brijesh Sharma [1], Yajuvendra Kumar Sharma [1], Rohit Yadav [1], Chandra Prakash Pal [1]

[1] Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

Address of Correspondence
Dr. Chandra Prakash Pal,
Professor and Head, Department of Orthopaedics, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
E-mail: drcportho@gmail.com

Abstract

Introduction: Anterior or posterior dislocation of hip are usually associated with fracture head of femur but dislocations associated with femoral neck, trochanter and shaft are very rare and among this anterior dislocation of hip with ipsilateral fracture of shaft femur is an extremely rare injury. We reported a case of anterior dislocation of hip associated with ipsilateral fracture shaft femur upper third in adult male.
Case presentation: A 25 yrs male, low socioeconomic status was brought to our emergency department was conscious but unable to mobilize his right lower limb and external rotation deformity was present with some shortening. No neurovascular compromise and was found fracture shaft femur along with anterior dislocation of right hip on x-ray and treated by close reduction of femoral head and internal fixation of fracture shaft femur by intramedullary nail.
Conclusion: Early diagnosis of hip dislocation is essential to prevent avascular necrosis of femur head in future. We concluded that there is no need of open reduction for anterior hip dislocation in every such case. Close reduction of anterior dislocation of hip followed by femur interlocking for femoral shaft fracture is good option for management for such type of injuries.
Keywords: Hip dislocation, Close reduction, Avascular necrosis, Fracture dislocation

References

1. Sahin V, Karaks ES; Aksu S, Atlihan D et al (2003) Traumatic dislocation and fracture-dislocation of the hip: a long term follow-up study. J Trauma 54:520–529
2. Alexa O, Puha B, Veliceasa B, Paduraru D. Posterior dislocation of the hip associated with ipsilateral trochanteric fracture-a very rare case.Chirurgia (Bucharest, Romania : 1990) [01 Nov 2009, 104(6):761-764].
3. K Yamamoto, M Ko, T Masaoka, T Shishido, A Imakiire traumatic anterior dislocation of hip associated with ipsilateral femoral shaft fracture in a child: A case report. Journal of Orthopaedic Surgery 2004;12(1):126–132
4. Malkawi H. Traumatic anterior dislocation of hip with fracture of shaft of the ipsilateral femur in children: case report and review of the literature. J Pediatrorthop. 1982 Aug;2(3):307-11.
5. Barquet A. Traumatic hip dislocation with fracture of ipsilateral femoral shaft in childhood.Report of a case and review of literature.ArchOrthop Trauma Surg. 1981;98(1):69-72.
6. Chirag TN et al., Traumatic dislocation of hip with ipsilateral femur shaft fracture – A case report. Journal of Orthopaedics and Rehabilitation / January 2011/ vol.1/issue 1.
7. Helal and X. Skevis. Unrecognized dislocation of the hip in fractures of the femoral shaft. Vol. 49B. 2, may1967.
8. sidhasimbandan, obturator dislocation of hip associated with fracture shaft of femur Singapore: case report; medical journal volume 23, NO 5, October 1986.
9. Watson – jones R: Fracture and joint injuries. 4th ed. Baltimore: The Williams and Wilkins Co, 1955;2:678-81.

How to Cite this article: Sharma B, Sharma YK, Yadav R, Pal CP | Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report | July-December 2021; 7(2): 15-17.

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Sideswipe Injury to the Leg – A Hefty Price for an Autorickshaw Ride: A Case Report

July 10, 2021/in Volume 7 | Issue 2 | July-December 2021

Vol 7 | Issue 2 | July-December 2021 | page: 12-14 | Devender Kasotya, Nishant Bhatia, Rajeev Yadav, Dhananjay Sabat

DOI-10.13107/ti.2021.v07i02.018

Author: Devender Kasotya [1], Nishant Bhatia [1], Rajeev Yadav [1], Dhananjay Sabat [1]

[1] Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.

Address of Correspondence
Dr. Nishant Bhatia,
Department of Orthopaedic Surgery, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
E-mail: bhatianishant1111@gmail.com

Abstract

Introduction: Sideswipe injury is often described as a complex elbow injury occurring when the elbow rests on a side bar of the window of a vehicle and is then impacted by another vehicle travelling in the same or opposite direction. Side swipe injury to the leg is uncommon. Although the term side swipe is mostly used for elbow injuries, we came across a case of open comminuted fibular fracture of right leg resulting from side swipe while travelling in a tricycle.
Case Presentation: A 27-year-old male presented to us after sustaining an injury to his right leg while he was travelling in a tricycle with his right leg protruding out. There was an open wound of size 20 cm x 10 cm on lateral aspect of the middle one-third of his right leg and x-rays revealed a comminuted fracture of mid shaft of fibula. He was managed with debridement, vacuum assisted closure (VAC) dressing, split thickness skin grafting and plaster immobilization. At one year follow-up, the patient had excellent function in the leg with no activity limitation and just a minor loss of power in eversion.
Conclusion: Sideswipe injury of the leg is an infrequently reported entity and can occur if the leg is protruding out while riding in a tricycle (autorickshaw).
Keywords: Leg, Sideswipe injury, Tricycle related injury.

References

1. Sharma M, Singh K, Kumar L, Kharbanda Y. Sideswipe injuries around the elbow: Management and functional evaluation. Indian J Orthop. 2013;47:382-387. https://doi.org/10.4103/0019-5413.114923.
2. Highsmith LS, Phalen GS. Sideswipe fractures. Arch Surg. 1946;52:513-522. https://doi.org/10.1001/archsurg.1946.01230050521001. 3. Bain GI. A review of complex trauma to the elbow. Aust N Z J Surg. 1999;69:578-581. https://doi.org/10.1046/j.1440-1622.1999.01635.x.
4. Simpson NS, Jupiter JB. Complex fracture patterns of the upper extremity. Clin Orthop Relat Res. 1995;318:43-53.
5. Schmucker U, Dandona R, Kumar GA, Dandona L. Crashes involving motorized rickshaws in Urban India: Characteristics and injury patterns. Injury. 2011;42:104-111. https://doi.org/10.1016/j.injury.2009.10.049.
6. Oyewole OA, Oladiran AB, Ogunrewo TO, Omoyeni RA. Sideswipe injury of the knee: The new face of an old foe? Niger Med J. 2020;61:288-290. https://doi.org/10.4103/nmj.nmj_156_19.
7. Jalihal SA, Reddy TS. CNG: An alternative fuel for public transport. J Sci Ind Res. 2006;65(5):426-431.
8. Majumdar D, Jash T. Merits and challenges of e-rickshaw as an alternative form of public road transport system: a case study in the state of West Bengal in India. Energy Procedia. 2015;79:307-314. https://doi.org/10.1016/j.egypro.2015.11.492.
9. Dandona R, Mishra A. Deaths due to road traffic crashed in Hyderabad city in India: Need for strengthening surveillance. Natl Med J India. 2004;17:67-72.
10. Dandona R, Kumar GA, Dandona L. Traffic law enforcement in Hyderabad, India. Int J Inj Contr Saf Promot. 2005;12(3):167-176. https://doi.org/10.1080/17457300500088840.

How to Cite this article: Kasotya D, Bhatia N, Yadav R, Sabat D Side Swipe | Injury to the Leg – A Hefty Price for an Autorickshaw Ride: A Case Report | July-December 2021; 7(2): 12-14.

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Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

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Adult Traumatic Eight Days Old Anterior Dislocation of the Hip with Ipsilateral Fracture Upper Third Shaft Femur: An Atypical Case Report

Author: Brijesh Sharma [1], Yajuvendra Kumar Sharma [1], Rohit Yadav [1], Chandra Prakash Pal [1]

Abstract

References

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