Traumatic Obturator hip dislocation with an iatrogenic femoral head fracture: A case report with two year follow-up

Traumatic hip dislocation is a common and dangerous condition in young people who have undergone high-energy trauma. The obturator anterior hip is a highly unusual condition among hip dislocations that requires specialized treatment and reduction techniques by an expert to avoid complications. A 25-year-old female reported to our emergency department with complaints of left hip pain, deformity, and reduced range of motion after falling from a horse. The patient was diagnosed with left hip obturator dislocation- that the ED physician reduced with sedation- resulting in iatrogenic femoral head fracture. CT and post-reduction radiographs revealed an incongruent left hip joint and a Pipkin II femoral head fracture. The patient received an emergency open reduction internal fixation and trochanteric sliding osteotomy with no intra- or post-operative complications. The patient returned to her previous sports activity after two years of serial clinical and radiological testing at our clinic, which revealed an outstanding hip range of motion without evidence of femoral head necrosis or other sequelae