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Managing Dislocations of the Hip, Knee, and Ankle in the Emergency Department (Trauma CME)

December 2017

Inside This Issue:

Dislocations of the hip, knee, or ankle are painful presentations in the trauma ED that must be managed quickly to avoid morbidity, disability, and even possible amputation. This issue presents an evidence-based approach to:

  • Quickly assess the dislocation based on the mechanism of injury
  • Manage fractures often associated with dislocations
  • Quickly and safely diagnose and treat dangerous knee dislocations
  • Order diagnostic studies to determine the exact nature of the dislocation: x-rays or CT?
  • Decide whether to immediately reduce the dislocation, or whether urgent surgical consultation is needed first
  • Choose the best methods for reduction, based on provider and patient needs
  • Correctly disposition the patient: do all patients need to be admitted?

Keywords: hip dislocation, knee dislocation, patellar dislocation, ankle dislocation, reduction, ligament, fracture, avascular necrosis, popliteal, peroneal, acetabulum, lateral malleoli, deltoid, subtalar, total hip arthroplasty, THA, Allis, Bigelow, Captain Morgan, Rocket Launcher, traction, adduction

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Last Modified: 12/18/2018
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