skip to main content

Posterior hip dislocation — ABEM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateTraumaPosterior hip dislocationABEM Board

A 32-year-old man arrives after a dashboard injury in an MVC. Triage acuity is ESI 2; BP 132/84 mm Hg, HR 100/min. The right leg is shortened, adducted, and internally rotated. Dorsalis pedis pulse is present, and sensation is decreased over the dorsum of the foot. Which of the following is the most appropriate initial action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Provide procedural sedation and perform urgent closed reduction

Posterior hip dislocation threatens femoral head viability and sciatic nerve function; urgent reduction is required.

Reference: ATLS musculoskeletal trauma guidance