J Korean Radiol Soc.  2008 Jun;58(6):617-622. 10.3348/jkrs.2008.58.6.617.

CT Findings of Traumatic Posterior Hip Dislocation after Reduction

• Moon SK
• Park JS
• Jin W
• Ryu KN

• KMID: 2024545
• DOI: http://doi.org/10.3348/jkrs.2008.58.6.617

Abstract

PURPOSE
To evaluate the CT images of reduced hips after posterior hip dislocation and to propose specific diagnostic criteria based on the CT results.
MATERIALS AND METHODS
We retrospectively reviewed the CT findings on 18 reduced hips from 17 patients with radiographs and clinical histories of traumatic posterior hip dislocations by evaluating 18 corresponding CT scans for joint space asymmetry, intra-articular abnormalities (intra-articular fat obliteration, loose bodies, and joint effusion), changes in posterior soft tissue (capsule, muscles, and adjacent fat), the presence, and location of fractures (acetabulum and femoral head).
RESULTS
All 18 hips (100%) showed posterior soft tissue changes. In total, 17 hips (94.4%) had intra-articular abnormalities and 15 hips (83.3%) had joint space asymmetries. In addition, 17 hips (94.4%) had fractures involving the acetabula (15 cases, 88.2%), the femoral head (13 cases, 76.5%), or on both sides (11 cases, 64.7%). The most frequent fracture location was in the posterior wall (13/15, 86.7%) of the acetabulum and in the anterior aspect (10/13, 76.9%) of the femoral head.
CONCLUSION
Patients with a prior history of posterior hip dislocation showed specific CT findings after reduction, suggesting the possibility of previous posterior hip dislocations in patients.

Keyword

Hip, dislocation; Computed tomography (CT); Soft tissue injury

MeSH Terms

Acetabulum
Dislocations
Head
Hip
Hip Dislocation
Humans
Joints
Muscles
Retrospective Studies
Soft Tissue Injuries