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Traumatic hip dislocation — RCPSC EM MCQ

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ModerateTraumaTraumatic hip dislocationRCPSC EM

CTAS 2. A 24-year-old dashboard-injury patient has a shortened, adducted, internally rotated leg. Distal pulses and sensation are intact. Pelvic x-ray shows a posterior hip dislocation without obvious fracture. What is the most appropriate initial management?

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

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Correct answer: C — Urgent procedural sedation and closed reduction

Posterior hip dislocation should be reduced urgently to reduce the risk of avascular necrosis, after assessing neurovascular status.

Reference: ATLS Student Course Manual; Canadian Orthopaedic Association trauma resources