The attitude of limb in posterior dislocation of hip joint: March 2011
## **Core Concept**
Posterior dislocation of the hip joint is a serious injury often resulting from high-energy trauma, such as in road traffic accidents. The hip joint is a ball-and-socket joint where the femoral head articulates with the acetabulum. In a posterior dislocation, the femoral head is displaced out of the acetabulum in a posterior direction.
## **Why the Correct Answer is Right**
The typical attitude of the limb in posterior dislocation of the hip joint is flexion, adduction, and internal rotation. This specific positioning occurs due to the force and direction of the dislocation, where the femoral head is pushed posteriorly out of the acetabulum. The muscles attached to the femur, particularly the iliopsoas, adductor muscles, and external rotators, contribute to this positioning. The limb appears shortened and internally rotated, which is a classic clinical presentation.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option does not accurately describe the typical attitude of the limb in posterior dislocation of the hip.
- **Option B:** Similarly, this option does not match the classic description of limb positioning in posterior hip dislocation.
- **Option C:** This is the correct description of the attitude of the limb in posterior dislocation of the hip joint, which is flexion, adduction, and internal rotation.
## **Clinical Pearl / High-Yield Fact**
A key clinical correlation to remember is that posterior dislocation of the hip can be associated with sciatic nerve injury due to the proximity of the nerve to the posteriorly dislocated femoral head. Clinicians should always assess for neurological deficits in such cases.
## **Correct Answer:** . flexion, adduction and internal rotation