Heritage College of Monday, 21 August 2017 Osteopathic Medicine Femoral Head Dislocation (Posterior Hip 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 Hip Dislocation) flexion extension right-sided fracture/dislocation spiraling hip ligaments tighten & dislocation “screw” femur into hip on extension & slacken on flexion iliofemoral fracture ligament 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. meniscus (M) Note: Lateral meniscus 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 .