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Emergency Medicine Journal 2006;23:e40; doi:10.1136/emj.2005.031013
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

An unusual rugby injury

S J Croft1, J Brenchley1, S P Badhe2, T R Cresswell2

1 Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, South Yorkshire, UK
2 Derbyshire Royal Infirmary, London Road, Derby, Derbyshire, UK

Correspondence to:
Correspondence to:
Dr S J Croft
SpR in Accident and Emergency Medicine, Barnsley Hospital NHS Foundation Trust, Gawber Road, Barnsley, South Yorkshire, S75 2EP, UK; susancroft{at}btinternet.com

ABSTRACT

We describe an unusual sports injury in a young man, a combination of obturator hip dislocation with an ipsilateral anterior cruciate ligament injury. Traumatic non-prosthetic hip dislocations, particularly obturator hip dislocations, are extremely rare sports injuries and have not previously been reported in conjunction with a knee ligament injury. The severe pain and obvious deformity from the hip injury can distract from other injuries, particularly to the ipsilateral knee. This case reinforces the need for a thorough assessment of the knee joint, before hip reduction if possible and certainly after reduction of the dislocation.

Abbreviations: ACL, anterior cruciate ligament; MRI, magnetic resonance imaging

Keywords: hip; dislocation; knee; injury


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