hip dislocation

Incidence

Very rare

Associated Injuries

SH type 1 femoral epiphysis most common

Management

Closed Reduction

Assess concentric reduction

Assess stability

Apply spica / traction for 2 weeks

Incidence

Young men

Posterior / Anterior 9:1

Aetiology

High velocity injury

- head direction at impact decides direction of dislocation

Anterior Dislocation 

Externally rotated & abducted leg

- flexion = inferior dislocation

Definition

1. Spinal dysraphism

Failure of the neural tube to close (i.e. spina bifida + failure of neural tube development)

May see one of 5 telltale skin defects 

- tail

- skin dimpling 

- sacral pit 

- hair tuft 

- lipoma 

Myelodysplasia: Any developmental defect of the spinal cord 

2. Spina Bifida Cystica