Hip dislocation + acetabulum fracture

Abstract

Introducción: The most common acetabulum injury is the rupture of the posterior dome of the acetabulum, as it is the place where the posterosuperior edge of the femoral head impacts from the dislocated hip, in older adults. Objective: The purpose of the research presented is to analyze a clinical case of Hip Dislocation due to high energy trauma in an older adult. Methodology: Carry out a qualitative and descriptive study through the bibliographic review of databases such as Elsevier, Pubmed, Scielo and Google school with presentation of a clinical case.   Specific evaluation methods were used to evaluate the patient. Results: There is a 95% incidence of other associated injuries in patients with hip dislocations. 70% of patients present acetabulum fractures, 23% present other extremity fractures, 24% head injuries, 21% thoracic injuries and 15% present abdominal injuries. Peripheral nerve injury has been reported in a 10% of patients, with the peroneal component of the sciatic nerve being the most compromised. Conclusions: When analyzing a clinical case of Hip Dislocation due to high energy trauma in an older adult, hip dislocations associated with an acetabulum fracture are the only pathological entity in almost 10% of patients. Tomography, with reconstruction in planes, will provide invaluable help in precise diagnosis, morphotopographic characterization and help in therapeutic planning, which is why we recommend it in the evaluation of all acetabular fractures