Avoiding Disaster in the Management of Dislocated Hip Hemiarthroplasties; Case Presentation, Diagnosis, and Management

A 78-year-old woman with a history of multiple falls as well as hypertension, type 2 diabetes, hypothyroidism, polymyalgia rheumatica, dementia, and right middle cerebral artery stroke with residual left-sided weakness presented to the emergency department with a displaced femoral neck fracture afte...

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Bibliographic Details
Published in:The American journal of emergency medicine 2017-03, Vol.35 (3), p.521.e3-521.e7
Main Authors: Nacca, Christopher R., M.D, Harris, Andrew P., M.D, Tuttle, John R, M.D
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - methods
Dementia disorders
Design
Emergency
Emergency medical care
Emergency services
Female
Femoral Neck Fractures - surgery
Hemiarthroplasty - adverse effects
Hemiarthroplasty - methods
Hip Dislocation - diagnostic imaging
Hip Dislocation - etiology
Hip Dislocation - surgery
Humans
Hypertension
Joint surgery
Postoperative Complications - etiology
Postoperative Complications - therapy
Radiography
Reoperation
Transplants & implants
Citations: Items that this one cites
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Description
Summary:A 78-year-old woman with a history of multiple falls as well as hypertension, type 2 diabetes, hypothyroidism, polymyalgia rheumatica, dementia, and right middle cerebral artery stroke with residual left-sided weakness presented to the emergency department with a displaced femoral neck fracture after a nonsyncopal fall (Fig. 1). Emergency medicine physicians must remain vigilant for the direction of dislocation, date of surgery, and HA design before reduction to increase the likelihood of successful reduction and prevent adverse outcomes.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2016.10.006