1072. Urgency of displaced prosthetic hip / S/sx complete muscle tear, Rx / Iliopsoas strain: unusual and misleading symptom, why xray?
1071. Three xray findings in hip dislocation / Contraindication to closed reduction of dislocated hip / Two techniques for reduction / Describe Allis method
1070. What % patients with hip dislocation have other serious injuries? / What % hip dislocations are posterior? What is the usual mechanism? / Mechanism of anterior dislocation? / Fractures assoc with hip dislocation / Presenting posture of posterior hip dislocation
I thank Drs. Almazroua and Vilke for their comments on the Captain Morgan technique for reducing a dislocated hip. They have correctly pointed out that the knee should not be used as a fulcrum, with the main force coming from downward pressure on the patient’s ankle. Instead, the main force should be an upward or lifting force generated by one’s gastrocnemius and soleus muscles. Although I have not personally encountered a complication as described by the authors, I agree with their concern that using the knee as a fulcrum could impart a great deal of force to the patient’s knee, risking ligamentous injury. As we did describe in our article, this is one of the primary ways in which our method differs from the original report by Lefkowitz, which advocated “downward pressure applied to the patient’s ankle.”1 Again, I thank you for emphasizing this important point, and may the Captain go with you. [G Hendey]
1069. Orthopedic management of femoral shaft # / Two periods postoperative refracture most likey / Ddx painful hip without #
1068. Orthopedic management of femoral neck fractures / How are intertroch fractures classified? What is the optimal timing of surgery? Complications of subtrochanteric fractures / Injuries associated with femoral shaft fracture
1067. Classification of open fractures and how it affects treatment / Analgesic option in hip and femoral shaft fractures / Complications of prosthetic hips / Garden classification of femoral neck fractures
1066. Occult hip # incidence, indications for further testing, and test of choice // Traction for femoral #s? / Contraindications to traction / What attaches to the small concavity in the center of the femoral head?
1065. Hip fracture: occult management issues / How much blood can be lost into a femur #? / Presenting leg position in displaced femoral neck #, intertrochanteric # // Three techniques to find hip fractures on plain film // Femoral Nerve Block Fascia Iliaca Block by landmark
1064. Importance of hip dislocation / Myositis ossificans: what is it? Cause? Location? Natural history? Rx? // Etiologies of referred hip and groin pain