Direct Inferior Hip Dislocation With Intertrochanteric Fracture in an Adult: A Rare Case and Review of the Literature

Direct inferior hip dislocation is the rarest type, sometimes referred to as luxatio erecta. To the author's knowledge, an adult inferior hip dislocation with an associated displaced intertrochanteric fracture has only been reported once in the literature. Accordingly, there are few described treatment options for this injury. An 18-year-old male presented after a motor vehicle collision with an inferior hip dislocation and an associated ipsilateral intertrochanteric hip fracture. He was taken to the operating room urgently for the reduction of the dislocation and definitive treatment. In this case, a fracture table was utilized along with a Schanz pin to reduce the hip dislocation and for the reduction and intramedullary nailing of his intertrochanteric fracture.

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Publication Details

Journal
Cureus
Published
2025-10-08
DOI
https://doi.org/10.7759/cureus.94109
Primary Topic
Hip disorders and treatments
Type
article
Field-Weighted Citation Impact
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article

Direct Inferior Hip Dislocation With Intertrochanteric Fracture in an Adult: A Rare Case and Review of the Literature

Mark Ayoub
Cureus
Hip disorders and treatments
article

Direct Inferior Hip Dislocation With Intertrochanteric Fracture in an Adult: A Rare Case and Review of the Literature

Mark Ayoub
article en

Abstract

Direct inferior hip dislocation is the rarest type, sometimes referred to as luxatio erecta. To the author's knowledge, an adult inferior hip dislocation with an associated displaced intertrochanteric fracture has only been reported once in the literature. Accordingly, there are few described treatment options for this injury. An 18-year-old male presented after a motor vehicle collision with an inferior hip dislocation and an associated ipsilateral intertrochanteric hip fracture. He was taken to the operating room urgently for the reduction of the dislocation and definitive treatment. In this case, a fracture table was utilized along with a Schanz pin to reduce the hip dislocation and for the reduction and intramedullary nailing of his intertrochanteric fracture.

CureusVol. 17(10)
University of California, San Francisco (US)
Openalex Percentile: Top 56%
Hip disorders and treatments
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