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Ortho Case of the Week - Shoulder and Hip Dislocations
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Case 1: A 45-year-old male BIBEMS after an MVC with left hip pain. His left leg is shortened, adducted, and internally rotated.
What is your interpretation of the x-ray above?
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What is the most common mechanism for this pathology?
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What nerve is most commonly injured with this pathology? How would you test it?
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Delayed presentation (or identification) of this pathology is most commonly associated with what complication?
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What is the textbook answer for the time frame within which this pathology must be reduced?
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Case 2: A 75-year-old female presents with right shoulder pain and deformity after a fall.
What is your interpretation of the x-ray above?
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What nerve is most commonly injured with this type of dislocation? How would you test it?
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If her shoulder had been dislocated for >3 weeks, how would your management change? What could happen if you tried to reduce it?
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