Successful reduction of an obturator hip dislocation using flexion, abduction, and external rotation: a case report
Obturator dislocation of the hip is an extremely rare injury. Urgent closed reduction is critical to prevent complications such as avascular necrosis. We report a rare case of a 52-year-old woman who sustained an obturator dislocation following a motor vehicle collision. Manual reduction was successfully performed under fluoroscopic guidance with the hip positioned in flexion, abduction, and external rotation within 3 h post-injury. The patient followed a staged rehabilitation protocol and recovered well with only mild residual discomfort at 6 months. This case highlights the importance of early diagnosis, prompt reduction, and the utility of alternative reduction strategies when standard techniques fail. Long-term monitoring is advised due to the risk of femoral head collapse and subsequent osteoarthritis.
Authors
- Tomofumi Nishino (ORCID: https://orcid.org/0000-0002-6755-4900)
- Ryunosuke Watanabe (ORCID: https://orcid.org/0000-0001-6675-5244)
- Yudai Yokota
- Tomohiro Yoshizawa (ORCID: https://orcid.org/0000-0002-2413-7197)
- Hiroshi Noguchi
- Hajime Mishima (ORCID: https://orcid.org/0000-0002-6582-4508)
Institutions
- University of Tsukuba (JP)
- University of Tsukuba Hospital (JP)
Publication Details
- Journal
- Journal of Surgical Case Reports
- Published
- 2025-05-31
- DOI
- https://doi.org/10.1093/jscr/rjaf438
- Primary Topic
- Hip disorders and treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00