J Korean Fract Soc.  2012 Jan;25(1):73-76. 10.12671/jkfs.2012.25.1.73.

Combined Ipsilateral Fracture and Dislocation of Hip, Knee and Foot Joints: A Case Report

• Kim HS
• Kim JH
• Park SJ
• Hyung JW

• KMID: 1434115
• DOI: http://doi.org/10.12671/jkfs.2012.25.1.73

Abstract

Although clinical cases of ipsilateral knee and hip joint dislocation have been reported, there are no reports of simultaneous ipsilateral hip, knee, and foot dislocations. We report here a case of a patient who had ipsilateral hip, knee, and foot joint dislocations, and review the relevant literature.

Keyword

Hip; Knee; Foot; Ipsilateral; Dislocation

MeSH Terms

Dislocations
Foot
Foot Joints
Hip
Hip Joint
Humans
Knee

Figure

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  Fig. 1 Plain pelvis radiograph shows posterior dislocation of hip and fracture of femoral head.

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  Fig. 2 Plain knee radiograph shows posterolateral dislocation of the knee with undisplaced fracture of inferior pole of the patella.

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  Fig. 3 Preoperative ankle radiograph shows midtarsal plantar dislocation.

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  Fig. 4 Vascular CT shows no occlusion of blood flow.

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  Fig. 5 MRI shows ruptures of the ACL, PCL, MCL, LCL & popliteus ligaments.

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  Fig. 6 After surgery, reduction status of ankle is shown.

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  Fig. 7 Postoperative radiograph shows reduction status of hip.

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  Fig. 8 24 months after surgery, plain pelvis radiograph shows neither avascular necrosis nor traumatic arthritic changes.

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  Fig. 9 24 months after surgery, plain knee radiograph shows stable knee with all corner reconstruction status.

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  Fig. 10 Plain radiograph of 24 months after surgery shows residual subluxation of midtarsal joint.

Reference

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6. Shelbourne KD, Porter DA, Clingman JA, McCarroll JR, Rettig AC. Low-velocity knee dislocation. Orthop Rev. 1991. 20:995–1004.