Hip Dislocation · trauma

A native posterior hip dislocation is diagnosed in the ED. Sciatic function is intact. Closed reduction under sedation fails twice against a firm block. The next step is:

• AKeep pulling in the bay until it goes — persistence avoids the OR
• BStop forcing closed attempts; go to the OR. Repeated force against a block injures the head and can break the neck
• CDischarge for “spontaneous reduction overnight”
• DStart full weight bearing to recapture the head