Two cases of a posterior hip fracture-dislocation that occurred during an amateur soccer match are presented and mechanism of injury, complications and rehabilitation were analysed. Follow-up of both patients was at least one year after surgery. Questionnaires and physical examinations were obtained to quantify and qualify outcome.
In both cases the hip-dislocations were reduced within 3 h after injury. Semi-elective open reduction and internal fixation was performed within seven days. In one case, there was a concomitant Pipkin fracture and sciatic nerve neuropathy. There were no postoperative complications. Follow-up showed full of range of motion and normal hip functionality in both cases. However, both patients indicated a reduced quality of life and anxiety related to the accident.
Traumatic hip fracture-dislocations during soccer practice are extremely rare. Despite uncomplicated fracture healing after surgery and return of hip function, both patients still suffer from psychological problems resulting in a decreased quality of life. Further research is required to enhance psychological outcomes, as well as to facilitate return to pre-injury levels of participation and engagement in sports following traumatic hip fracture-dislocations related to soccer.
方法:介绍了2例业余足球比赛中发生的后髋部骨折脱位的病例及其损伤机制,分析并发症和康复情况。两名患者的随访时间为手术后至少一年。获得问卷和体格检查以量化和鉴定结果。
结果:在两种情况下,髋关节脱位在受伤后3小时内减少。在7天内进行半选择性切开复位和内固定。在一个案例中,伴有Pipkin骨折和坐骨神经病变.术后无并发症发生。随访显示两种情况下的活动范围很广,髋关节功能正常。然而,两名患者均表示与事故相关的生活质量下降和焦虑.
结论:足球训练中创伤性髋部骨折脱位极为罕见。尽管手术后骨折愈合简单,髋关节功能恢复,两名患者仍然患有心理问题,导致生活质量下降。需要进一步的研究来增强心理结果,以及在与足球有关的创伤性髋部骨折脱位后,促进恢复受伤前的参与和参与运动水平。