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Orthopaedics Pelvis & Injuries 950da181

A patient with hip dislocation with limitation of Abduction at hip and flexion and internal rotation deformity at hip and shortening. Diagnosis is:

A
Central dislocation
B
Anterior dislocation
C
Posterior dislocation
D
Fracture dislocation
High-Yield Explanation
(c) Posterior dislocationExplanationSince the question mentions limitation of abduction, hence there is adduction deformity along with flexion and internal rotation deformity. Thus this is a case of Posterior dislocation of hip.Position of hipPattern of InjuryFlexion, adduction, internal rotationPure posterior dislocationLess flexion, less adduction (neutral or slight abduction), internal rotationPosterior fracture dislocation > central dislocationHyper abduction + Flexion + External rotationAnterior dislocationSome students remember an alternate format of the question 6b

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