Podcast 652: Prosthetic Hip Dislocation

<p><strong>Contributor:  Jared Scott, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">While it is rare to have a native hip dislocation, it is relatively common to dislocate a prosthetic hip</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">The mechanism for dislocation is usually adduction, flexion, and internal rotation the hip which can occur when walking</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Arthroplasty in the setting of trauma or fracture, posterior approach during surgery, and using a small femoral head increase the likelihood of later dislocation</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">If a patient with a total hip arthroplasty says they were walking and then developed hip pain, do not discount a potential dislocation</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Zahar A, Rastogi A, Kendoff D. Dislocation after total hip arthroplasty. Curr Rev Musculoskelet Med. 2013;6(4):350-356. doi:10.1007/s12178-013-9187-6</span></p> <p><em><span style="font-weight: 400;">Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD</span></em></p> <p><br /> <br /></p>