Evidence map›Paper›PMID 40491649›Full record

ArticleCureus2025

Traumatic Obturator Hip Dislocation: Injury Characteristics and Clinical Outcomes.

Vera Jaecker, Marcel Niemann, Bertil Bouillon, Sven Shafizadeh, Sven Märdian, Gernot Steiner, Stephan Regenbogen

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vera JaeckerTrauma and Orthopaedic Surgery, Cologne Merheim Medical Center, Witten/Herdecke University, Witten, DEU.
Marcel NiemannCenter for Musculoskeletal Surgery, Charité - Berlin University of Medicine, Berlin, DEU.
Bertil BouillonOrthopaedics and Traumatology, Clinics of the City of Cologne, Cologne, DEU.
Sven ShafizadehOrthopaedic Surgery, Trauma Surgery, and Sports Medicine, Witten/Herdecke University, Witten, DEU.
Sven MärdianTrauma, Hand, and Reconstructive Surgery, Rostock University Medical Center, Rostock, DEU.
Gernot SteinerCenter for Musculoskeletal Surgery, Charité - Berlin University of Medicine, Berlin, DEU.
Stephan RegenbogenOrthopaedics and Trauma Surgery, Heidelberg University, BG Klinik Ludwigshafen, Ludwigshafen, DEU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose Traumatic hip dislocation into the obturator foramen is poorly understood due to the rarity of the injury. The purpose of this study was to analyze the mechanism of trauma, associated injuries, treatment, and complications in patients who sustained obturator hip dislocation and to evaluate long-term outcomes, including patient-reported outcome measures (PROMs). Methods Patient demographics, trauma mechanisms, concomitant injuries, and the treatment of all consecutive patients who sustained an obturator hip dislocation at three level-one trauma centers from 2009 to 2024 were analyzed. At follow-up, the incidence of avascular necrosis (AVN), post-traumatic osteoarthritis (PTOA), further complications, return to work and sports, and PROMs, including Tegner Activity Scale (TAS) and modified Harris Hip Score (mHHS), were recorded. Results A total of eight obturator hip dislocations were identified out of 201 traumatic hip dislocations. Associated knee injuries, particularly involving the posterior cruciate ligament (PCL), were observed in five of eight patients (62.5%). Computed tomography (CT) analysis revealed concomitant fractures of the femoral head (Pipkin Types I-IV) or acetabulum in six of eight cases (75%), with the femoral head involved in 50% of all cases. Five patients were followed up (mean 9.17 ± 4.79 years). All patients demonstrated a good or excellent mHHS (mean 85.44 ± 7.36), and the TAS slightly decreased compared to their pre-injury level (5.5 to 4.5). None of the patients had been diagnosed with PTOA or AVN or undergone total hip arthroplasty (THA). Conclusion Obturator hip dislocations most commonly result from a high-energy "dashboard injury" and are mainly associated with concomitant femoral head or anterior acetabular wall fractures. Long-term follow-up has shown only minor limitations in activities of daily living, sports, and return to work, with a low risk of femoral head AVN or PTOA.

Indexed as

acetabular fracturesfemoral head fractureshigh-energy traumahip injuryobturator hip dislocationpipkin fracturestraumatic hip dislocation

Identifiers

PMID40491649
PMCPMC12148291

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.