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Posterior hip dislocation — RCPSC EM MCQ

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ModerateMusculoskeletalPosterior hip dislocationRCPSC EM

A 25-year-old has a posterior hip dislocation after a dashboard injury. The foot is warm, dorsalis pedis pulse is present, and there is decreased sensation over the dorsum of the foot. What is the most appropriate next step?

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Correct answer: C — Urgent closed reduction under procedural sedation with post-reduction neurovascular assessment and imaging

Traumatic hip dislocation is time-sensitive because of avascular necrosis risk; neurovascular status must be assessed before and after reduction.

Reference: ATLS orthopaedic trauma principles; Canadian emergency procedural sedation practice