Gluteus medius avulsion in posterior hip fracture dislocation—A rare injury

• Published in: Journal of orthopaedics, trauma and rehabilitation trauma and rehabilitation, 2019-06, Vol.26 (1), p.34-38
• Main Authors: Perumal, Ramesh, Shankar, Vijay, Yalavarthi, Rakesh K., Jayaramaraju, Dheenadhayalan, Rajasekaran, Shanmuganathan
• Format: Article
• Language: English
• Subjects: abductor avulsion; dislocation; vascular injury
• ISSN: 2210-4917; 2210-4925
• DOI: 10.1016/j.jotr.2018.03.002

A 44-year-old male presented to us with right hip pain and limb shortening following road traffic accident. He was diagnosed to have blunt abdominal injury, right hip posterior fracture dislocation, right knee dislocation with vascular injury. Though vascular repair was attempted, he ended up with an above knee amputation. Hip joint was unstable even after closed reduction and intraoperatively, gluteus medius avulsion was noted. This is the second reported case of abductor tendon avulsion in posterior hip dislocations. 一名44歲的男性在交通事故後呈現右髖部疼痛和肢體縮短。 他被診斷為有鈍性腹部損傷、右後髖關節骨折脫位、右膝關節脫位伴血管損傷。 儘管血管修復嘗試了，但他最終需要膝上截肢。 即使在閉合復位後，髖關節也不穩定，術中註意到臀中肌撕脫。 這是後髖關節脫位外展肌腱撕脫的第二個病例報告。