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The Journal of Bone and Joint Surgery, Vol 61, Issue 1 7-14, Copyright © 1979 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Irreducible traumatic dislocations of the hip

ST Canale and AH Manugian

Little attention has been paid to the various causes preventing or blocking a concentric reduction following traumatic dislocation of the hip without apparent fracture. In a review of fifty-four dislocations, nine required open reduction after either a failed attempt at closed reduction or a non-concentric reduction. The factors preventing closed reduction included the femoral head buttonholed through the capsule and the piriformis muscle displaced across the acetabulum. A concentric anatomical reduction was prevented because of an inverted lumbus or an osteocartilaginous loose body in the acetabulum. Guidelines for diagnosis and treatment are discussed.
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