Sunday Scaries

Anterior Hip Dislocation (Sunday Scary)

The Case: 71 yr old female (on Coumadin) presents to the ED after a slip and fall. Pt is laying on the stretcher complaining of left hip pain. What you see when you walk up to the bed is the patient laying like this: Patient had distal pedal pulses, sensation and movement intact and with make shift measurement, it looked as though the malleoli were lined up (no real length discrepancy) After addressing that this little lady was not bleeding in her head, she received x-rays of her left extremity and pelvis: ANTERIOR HIP DISLOCATION IN A NATIVE HIP The Hi