- See:
- Bigelow's Maneuver: for Posterior Hip Dislocation
- Closed Reduction
- Discussion:
- described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method;
- believed to be least traumatic;
- pt is in prone position w/ lower limbs hanging from end of table;
- assistant immobilizes the pelvis by applying pressure on the sacrum;
- hold knee and ankle flexed to 90 deg & apply downward pressure to leg just distal to the knee;
- gentle rotatory motion of the limb may assist in reduction;
- Contraindications:
- superior dislocations of the pubic type in which the hip presents in extension are not amenable to a Stimson's maneuver because of the need for further extension to acheive reduction
Reduction of posterior dislocation of the hip in the prone position.