Hip Dislocation: Recovery and Treatment Options - Orthopedics

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Femoral head dislocation


After a dislocation, I had a massage therapist put it back in place, but after lying down for a while, my leg cannot be straightened.
Is this a normal phenomenon? Will it get better after a few days of rest? If I go to see an orthopedic doctor, what treatment methods will be used for the femoral head? Thank you.

cha, 10~19 year old female. Ask Date: 2004/02/06

Dr. Ye Qingnian reply Orthopedics


First, a hip dislocation requires a significant impact to occur, and it must be reduced under anesthesia.
Therefore, the diagnosis made by a bone setter is unreliable.
Additionally, a dislocated femoral head can lead to avascular necrosis of the femoral head.
It is advisable to consult an orthopedic specialist for comprehensive treatment.

Reply Date: 2004/02/06

More Info


Hip dislocation is a serious injury that can lead to various complications if not treated properly. When a hip dislocation occurs, the femoral head (the ball part of the hip joint) is displaced from its normal position in the acetabulum (the socket). This can happen due to trauma, such as a fall or a car accident, and often requires immediate medical attention to realign the joint.

After a hip dislocation, it is common to experience pain, swelling, and difficulty moving the affected leg. The fact that you are unable to fully extend your leg after the dislocation is not unusual, especially in the initial recovery phase. The surrounding muscles and soft tissues may be inflamed or in spasm, leading to stiffness and restricted movement. It is essential to allow your body some time to heal, but if the inability to extend your leg persists, it is advisable to seek medical evaluation.

In terms of treatment options, the approach may vary depending on the severity of the dislocation and any associated injuries, such as fractures or damage to the ligaments and cartilage. After a hip dislocation is reduced (put back into place), the following treatment options may be considered:
1. Rest and Immobilization: Initially, rest is crucial to allow the joint to heal. Your doctor may recommend using crutches or a brace to limit weight-bearing on the affected leg.

2. Physical Therapy: Once the acute phase has passed, physical therapy is often recommended to restore strength, flexibility, and range of motion. A physical therapist can guide you through exercises tailored to your recovery needs.

3. Pain Management: Over-the-counter pain relievers or prescribed medications can help manage pain and inflammation during the recovery process.

4. Surgical Intervention: In some cases, if there is significant damage to the hip joint, such as fractures or tears in the labrum (the cartilage that surrounds the socket), surgery may be necessary. Surgical options can include repairing the labrum, addressing any fractures, or even hip replacement in severe cases.

5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your recovery progress. Imaging studies, such as X-rays or MRIs, may be performed to assess the healing of the joint and surrounding structures.

Regarding your question about seeing a Western medicine doctor, it is highly recommended to consult an orthopedic specialist. They can provide a thorough evaluation, including imaging studies, to determine the extent of the injury and recommend the most appropriate treatment plan.
In summary, while some discomfort and limited mobility after a hip dislocation are normal, persistent issues should not be ignored. Early intervention and appropriate rehabilitation are key to a successful recovery. If you experience worsening symptoms or new concerns, do not hesitate to seek medical attention. Your health and mobility are paramount, and a tailored treatment plan will help you return to your normal activities as soon as possible.

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