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