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Traumatic Dislocation of the Hip in a High School Football Player

C Yates, PT, PhD, PCS, is Assistant Professor, University of Central Arkansas, and Center for Translational Neuroscience, University of Arkansas Medical School, Little Rock, Ark.
WD Bandy, PT, PhD, SCS, ATC, is Professor, Department of Physical Therapy, University of Central Arkansas, 300 Donaghey Ave, Conway, AR 72035 (USA).
RD Blasier, MD, is Professor of Orthopedic Surgery, Arkansas Children's Hospital and University of Arkansas Medical School, Little Rock, Ark.

billb{at}uca.edu

Background:: Although traumatic dislocation of the hip often occurs as a result of automobile accidents, dislocations have been reported to occur during sports activities.

Objective:: Using the experience in treating a 17-year-old high school football player with a posterior dislocation, complicated by involvement of the sciatic nerve, this case report provides background information on hip dislocations and provides a description of the immediate treatment by the physician, followed by 6 weeks of immobilization, and a detailed account of the 5-month intervention.

Case Description:: The patient was injured while making a tackle during a high school football game when another player fell on him from behind. The case report describes his plan of care after immediate reduction and 6 weeks on crutches. Generally, the program utilized a progression of non–weight-bearing resistance training and stretching in the initial stages of intervention and progressed to weight-bearing activities (on land and in the pool) as the patient was able to tolerate more stress. In addition, the treatment of the sciatic nerve using electrical stimulation during treadmill walking is described.

Outcomes:: The patient was seen in an outpatient physical therapy clinic an average of 2 times per week for 5 months. At the end of 5 months, results of the Lower Extremity Functional Scale (LEFS) indicated that recreational and sporting activities were within normal limits, and the patient was able to return to playing on his high school football team the next year.

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