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Iatrogenic Hip Subluxation After Surgical Dislocation Successfully Treated with Periacetabular OsteotomyA Case Report
Jeffrey J. Nepple, MD1; Perry L. Schoenecker, MD1; John C. Clohisy, MD1
1 Department of Orthopaedic Surgery, Washington University School of Medicine, 1 Barnes-Jewish Hospital Plaza, 11300 West Pavilion, St. Louis, MO 63110. E-mail address for J.J. Nepple: nepplej@wudosis.wustl.edu. E-mail address for J.C. Clohisy: clohisyj@wudosis.wustl.edu
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Investigation performed at the Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Jan 09;3(1):e1 1-6. doi: 10.2106/JBJS.CC.L.00098
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Extract

The recognition of femoroacetabular impingement (FAI)1 as a cause of prearthritic hip disease has resulted in dramatic increases in the treatment of this condition2. A detailed history, physical examination, and comprehensive radiographic evaluation are important for accurate diagnosis and treatment planning, including the differentiation of mild acetabular dysplasia and FAI. We report a case of iatrogenic hip subluxation that occurred after surgical dislocation with acetabuloplasty. The patient was treated with a corrective periacetabular osteotomy (PAO) and had an excellent clinical outcome two years postoperatively. She was informed that data concerning the case would be submitted for publication, and she provided consent.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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