Accident & Emergency OSCE
Orthopedic emergency
Answer
a) Comment of the picture
i. Partial flex, adducted and internally rotated of the right hip joint
ii. Shortening of the right limb
iii. Slight flexion of right knee joint.
b) Traumatic right posterior hip dislocation
c) A&E management to this patient
i. Triage the patient to the yellow zone
ii. Ensure that airway, breathing and circulation has secured
iii. X ray of the pelvis, right femur and right tibia-fibular
iv. Adequate analgesic
v. Closed reduction under general anaesthesia
vi. X ray of the pelvis post reduction.
vii. Inform the orthopedic team. If reduction fail, or unstable hip dislocation, then may require admission to the orthopedic ward.