Chapter 8, Problem 2CCS

45-Year-Old Female with Dislocated Hip

In the previous chapter, you met Kayla Tanner, a 45-year-old mother of four who suffered a dislocated right hip in a car accident. Prior to the closed reduction, the doctors noted that her right thigh was flexed at the hip, adducted, and medially rotated. A widened joint space in the postreductionX ray showed that the reduction was not complete, but no bone fragments were visible in the joint space. Mrs. Tanner was scheduled for immediate surgery.

The surgeons discovered that the acetabular labrum had detached from the rim of the acetabulum and was lying deep within the joint space. The detached portion of the labrum was excised, and the hip was surgically reduced. During the early healing phase (first two weeks), Mrs. Tanner was kept in traction with the thigh abducted.

2. In the previous case study, you found out that Mrs. Tanner had previously suffered two dislocations of her shoulder. Create a table to compare the following aspects of shoulder and hip joints: (a) What bony structures articulate to form the joints? (b) What is the name of the labrum? (c) Is the articular capsule loose or tight? (d) What ligaments reinforce the joint?