A dislocated hip is an orthopaedic emergency that requires immediate diagnosis, evaluation, and treatment. It occurs when a great amount of force pushes the head of the thighbone (femur) out of its socket into the hip bone (pelvis). In approximately 90% of cases, the thighbone is pushed out of its socket in a backwards direction (posterior dislocation). The hip then becomes bent and twisted toward the middle of the body. Hip dislocations most commonly occur from motor vehicle accidents and falls from a height. They can also be a complication of hip replacement surgery.
Diagnostic procedures may include the following:
The first step is usually to try and reposition the hip joint by applying force to the leg without surgery. Called a closed reduction of the hip replacement, it is performed under anesthesia.
If the dislocation occurs with additional damage such as a fracture, or involves a hip implant, an open reduction surgery may be needed. In this procedure surgeons must go in and manipulate the femur and hip and/or reposition the implants.
Physical Therapy is a critical part of complete recovery. Our doctors recommend DMC's Rehabilitation Institute of Michigan, with 30 convenient locations across southeastern Michigan. To find one near you, click here.