The hip is a ball-and-socket joint. The round head of the thighbone fits into the socket of the pelvis. A hip dislocation happens when the femur pops out of its socket. It takes a strong force to tear the ligaments and joint capsule that hold the joint in place. Sometimes a part of the thighbone or pelvis is also broken. Car accidents are the most common cause for hip dislocations.
Because of the strong forces involved, there is a high risk for complications after a hip dislocation. The complications include:
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Injury to the sciatic nerve. This nerve passes just behind the hip joint. Hip dislocation can affect this nerve and cause immediate numbness and weakness in the lower leg.
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Injury to the nearby blood vessels that supply nutrients to the femur. This can cause poor blood flow and permanent damage to this part of the femur. Symptoms of hip pain and limping may not show up until months or years later.
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Injury to the joint cartilage that covers the joint surfaces. This can be torn as the bone pops out of the joint. It can cause osteoarthritis to appear months or years later.
Your health care provider will check you for these problems and advise treatment when needed. Treatment depends on how bad the injury is. Torn ligaments take at least 6 weeks to heal. It may take 3 to 4 months or longer before you can return to full activity after a hip dislocation.
Home care
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Follow your health care provider’s advice regarding weight bearing and use of crutches or a walker.
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Take pain medicine as directed.
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Weight-bearing with crutches can be tried with the approval of your health care provider. This will be after you are free of hip pain. This may take 1 to 2 weeks if there were no fractures.
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Exercises to make leg muscles stronger may be advised once you are pain-free and able to walk without crutches.
Follow-up care
Follow up with your health care provider, or as advised.
Call 911
Call
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Weakness, feel lightheaded, or faint.
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Shortness of breath or chest pain.
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Numbness or weakness in the affected leg.
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An injured leg that is pale or cold.
When to get medical advice
Call your health care provider right away if either of these occur:
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Increasing hip pain
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Increasing swelling, redness, or pain of the lower leg
