{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:12Z","timestamp":1787755272900,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 45-year-old man appeared to have a central (protrusio) hip dislocation but actually had a transverse posterior wall acetabulum fracture with irreducible posterior dislocation due to impalement of the femoral head on the ischial spine. He underwent urgent open reduction on presentation and subsequent internal fixation in a staged manner. He developed avascular necrosis at 18 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The nondisplaced ilioischial and iliopectineal acetabular radiographic lines were alerts that the dislocation was actually posterior. This led to further imaging before any closed reduction attempts because standard reduction maneuvers would have placed the patient at high risk for iatrogenic femoral head or neck fracture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00062","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T15:02:13Z","timestamp":1663081333000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Irreducible Traumatic Fracture-Dislocation of the Hip with Impalement onto the Ischial Spine"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7087-0031","authenticated-orcid":false,"given":"Thomas M.","family":"Large","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Grady Memorial Hospital, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,4]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2106\/00004623-197961010-00002","article-title":"Treatment of unreduced traumatic posterior dislocations of the hip","volume":"61","author":"Garrett","year":"1979","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1097\/BOT.0000000000000419","article-title":"Systematic review and meta-analysis of avascular necrosis and posttraumatic arthritis after traumatic hip dislocation","volume":"30","author":"Kellam","year":"2016","journal-title":"J Orthop Trauma."},{"issue":"8","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1007\/s00590-017-1988-7","article-title":"Late versus early reduction in traumatic hip dislocations: a meta-analysis","volume":"27","author":"Ahmed","year":"2017","journal-title":"Eur J Orthop Surg Traumatol."},{"issue":"1","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1007\/BF00435649","article-title":"Traumatic posterior dislocation of the hip\u2014prognostic factors influencing the incidence of avascular necrosis of the femoral head","volume":"106","author":"Hougaard","year":"1986","journal-title":"Arch Orthop Trauma Surg."},{"issue":"5","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/BOT.0b013e3181728436","article-title":"Ipsilateral anterior then irreducible posterior hip dislocation without fracture: a case report","volume":"22","author":"Liporace","year":"2008","journal-title":"J Orthop Trauma."},{"issue":"6","key":"bib6-20240805","first-page":"E4","article-title":"Irreducible traumatic obturator hip dislocation with subcapital indentation fracture of the femoral neck: a case report","volume":"62","author":"Rancan","year":"2007","journal-title":"J Trauma."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"7","DOI":"10.2106\/00004623-197961010-00003","article-title":"Irreducible traumatic dislocations of the hip","volume":"61","author":"Canale","year":"1979","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1302\/0301-620X.83B1.0830113","article-title":"Obturator dislocation of the hip","volume":"83","author":"Toms","year":"2001","journal-title":"J Bone Joint Surg Br."},{"issue":"10","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1097\/BOT.0b013e31818e2a86","article-title":"Irreducible fracture-dislocations of the femoral head without posterior wall acetabular fractures","volume":"22","author":"Mehta","year":"2008","journal-title":"J Orthop Trauma."},{"issue":"8","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1007\/s00402-016-2481-1","article-title":"A treatment strategy to avoid iatrogenic Pipkin type III femoral head fracture-dislocations","volume":"136","author":"Park","year":"2016","journal-title":"Arch Orthop Trauma Surg."},{"issue":"4","key":"bib11-20240805","first-page":"234","article-title":"Iatrogenic femoral head fracture during a closed reduction of posterior dislocation of hip. Case report [in Spanish]","volume":"32","author":"Vazquez","year":"2018","journal-title":"Acta Ortop Mex."},{"issue":"8","key":"bib12-20240805","first-page":"E278","article-title":"Iatrogenic femoral neck fracture after closed reduction of anterior hip dislocation in the emergency department","volume":"44","author":"Mansour","year":"2015","journal-title":"Am J Orthop (Belle Mead NJ)."},{"issue":"6","key":"bib13-20240805","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1007\/s11999-015-4609-y","article-title":"Does postoperative radiation decrease heterotopic ossification after the Kocher-Langenbeck approach for acetabular fracture?","volume":"474","author":"Davis","year":"2016","journal-title":"Clin Orthop Relat Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:40:27Z","timestamp":1787751627000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00062"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":13,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00062","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}