Heritage College of Monday, 21 August 2017 Osteopathic Medicine Femoral Head Dislocation (Posterior Dislocation)

fotosearch.com/comp/LIF/LIF134/E501003.jpg 2006 Moore & Dalley COA

limb shortened, flexed, & medially rotated www.fammed.washington.edu/ network/sfm/Orthorama/Hippose.jpg Heritage College of Monday, 21 August 2017 Osteopathic Medicine Femoral Head Dislocation (Posterior ) flexion extension right-sided fracture/dislocation

spiraling hip tighten & dislocation “screw” into hip on extension & slacken on flexion

iliofemoral fracture anterior learningradiology.com/caseofweek/ view caseoftheweekpix2006/cow195lg.jpg 2006 Moore & Dalley COA Heritage College of Monday, 21 August 2017 Osteopathic Medicine

Hip Fractures: Avascular Necrosis of Femoral Head

2006 Moore & Dalley COA Heritage College of Monday, 21 August 2017 Osteopathic Medicine

Hip Fractures: Avascular Necrosis of Femoral Head

coronal T1 MRI

subcapital fracture: greatest risk for AVN

pertrochanteric left subcapital fracture fracture: less risk for AVN www.mypacs.net/repos/mpv3_repo/viz/full/650/32511.jpg www.gla.ac.uk/ibls/fab/tutorial/clinical/orhip.html Heritage College of Monday, 21 August 2017 Osteopathic Medicine

ACL-MCL-M Tear (“Unhappy Triad”) ant. cruciate lig. (ACL)

med. collateral lig. (MCL) superior view

med. &/or lat. (M)

Note: is not usually included in “unhappy triad” but studies show it is often injured in acute ACL tears. posterior view

2006 Moore & Dalley COA Heritage College of Monday, 21 August 2017 Osteopathic Medicine

ACL-MCL-M Tear (“Unhappy Triad”)

Anterior Drawer Sign

2006 Moore & Dalley COA

www.fammed.washington.edu/network/sfm/Orthorama/ACLexam.mpg