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re: How Did They Reduce Tua’s Hip Dislocation At The Stadium?

Posted on 11/17/19 at 2:16 pm to
Posted by troyt37
Member since Mar 2008
13323 posts
Posted on 11/17/19 at 2:16 pm to
My son was in a car accident and one of his injuries was the exact diagnosis I’ve heard for Tua. Hip dislocation with posterior fracture. Essentially, the femur was driven out of the socket, breaking off a piece of the socket as the ball slipped out.

They didn’t reduce my son’s hip until he had some morphine on board at the hospital. The broken piece of the socket went right back in place for my son, so Tua’s may be more severe. Has anyone heard for a fact if the artery was involved?
Posted by BamaMamaof2
Atlanta, GA
Member since Nov 2019
2388 posts
Posted on 11/17/19 at 2:19 pm to
quote:

If childbirth was worse than dislocating your hip, I suspect that you would see a lot less people with 3+ children


She had natural childbirth, no epidural. I can only assume you don't have kids if you don't know what that would look like.

Have your pelvic bones slowly push themselves apart while an 8 lb baby is pushing it's way out of your body for about 6-12-18 hours.
Posted by awestruck
Member since Jan 2015
10929 posts
Posted on 11/17/19 at 2:22 pm to
quote:


quote:

until sliding back in and immediately felling so much better.


Well, better, but not quite immediately.
Everyone of the 6-7 shoulders I've reduced immediately went from cursing me to thanking, the instance it went back in. No doubt they where still hurting but orders of magnitude in difference. Was once there when a guy got both shoulders at same time.

... although imagine a hip might be another level of pain.
This post was edited on 11/17/19 at 2:27 pm
Posted by LuckyTiger
Someone's Alter
Member since Dec 2008
45171 posts
Posted on 11/17/19 at 2:22 pm to
No, but this doctor said a lot depended on how bad the fracture is. Is it just a crack or two, or is it badly fractured with multiple cracks and splinters of bone...that will determine a lot.
Posted by Icoachfb
Greenville SC
Member since Jan 2019
1796 posts
Posted on 11/17/19 at 2:33 pm to
I did my shoulder a couple times and an elbow once. Hurt like hell until they got back in. I’m a pretty big guy so shoulders probably didn’t go in as easy as someone smaller. So much musculature around the hip, I agree with you that may be a whole different level of pain.
Posted by Bill_M
NW Georgia
Member since Oct 2019
369 posts
Posted on 11/17/19 at 2:38 pm to
There is an eyelet that passes through the hip socket which carries the nerves to the legs. It's the worst case scenario when those nerves are badly damaged from a dislocation, hopefully Tua's doesn't involve nerve damage.
Posted by ImayGoLesMiles
Baton Rouge, La
Member since Feb 2015
12709 posts
Posted on 11/17/19 at 2:39 pm to
You pop the motherfricker back in. Which he was knocked out for more than likely already.
This post was edited on 11/17/19 at 2:40 pm
Posted by Ag Zwin
Member since Mar 2016
19914 posts
Posted on 11/17/19 at 2:44 pm to
quote:

A lot of people said they could hear Tua’s screams reverberating down the tunnel after they took him into a room


For real? Dang.

I had frozen shoulder once, the result of an impingement that just snowballed in inflammation. Not the same condition, obviously, but I remember the doc saying that they had to put me to sleep because the process to break apart the fused soft tissue was so loud and so painful that you just can’t be awake for it.

They ended up having to do some scope work, too, but they didn’t know that until they got a better look.
Posted by Dr Dawg
Toccoa, Ga
Member since Feb 2011
283 posts
Posted on 11/17/19 at 2:48 pm to
Artery of the ligamentum teres is always torn on hip dislocation. Avascular necrosis of the femoral head is only avoided if the collateral supply is adequate to keep it alive. Otherwise you end up like Bo.
Posted by OleManDixon
Lexington
Member since Jan 2018
9234 posts
Posted on 11/17/19 at 2:51 pm to
quote:

You sound as if you have attained some real wisdom and compassion in your life.


I assume that’s sarcasm? I didn’t throw a party. Literally just wrote I didn’t lose much sleep. I assume when you are on a gurney writhing in pain your first thought is to hold a vigil for the drunk who just caused it. I felt no animosity. I just didn’t lose sleep over his owie.

ETA: I regularly prayed for the guy so maybe take your judgement to another thread.
This post was edited on 11/17/19 at 2:53 pm
Posted by ceretonia
Dallas
Member since Nov 2014
727 posts
Posted on 11/17/19 at 3:11 pm to
Classic allis technique

Modified technique:


The cool kids favor the Rochester these days I hear.
Posted by troyt37
Member since Mar 2008
13323 posts
Posted on 11/17/19 at 3:17 pm to
quote:

Artery of the ligamentum teres is always torn on hip dislocation. Avascular necrosis of the femoral head is only avoided if the collateral supply is adequate to keep it alive. Otherwise you end up like Bo.


Never heard that. Are you an orthopedic surgeon?
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 11/17/19 at 3:58 pm to
With a posterior acetabular fracture the joint is unstable and would go in and out relatively easily. A dislocation without a fracture is much more difficult to reduce.
From what I could see on the TV, his hip joint didn’t not appear to be dislocated. The femur would be internally rotated if it was dislocated posteriorly, and that did not appear to be the case on the field. But, depending on how bad the acetabular fracture was, it could have been dislocated posteriorly (thru the acetabulum) and not had the internal rotation of the femur...which is likely the case.
Posted by NashvilleTider
Your Mom
Member since Jan 2007
11353 posts
Posted on 11/17/19 at 4:24 pm to
Apparently his screaming school his teammates so much they wouldn’t even talk about it after the game. I know we have fun trolling and going back and forth on here but really feel for the kid. That’s just an awful injury I wouldn’t wish on anyone especially these kids that work so hard.
Posted by deltaland
Member since Mar 2011
90546 posts
Posted on 11/17/19 at 5:00 pm to
quote:

Just reading that makes me queasy. I can’t wrap my head around this happening to him. What a nightmare.


I can vouch that a dislocated hip hurts like hell. Did mine in a dirt bike accident when I was 14 years old
Posted by Irondoctor
Member since Jun 2007
1359 posts
Posted on 11/17/19 at 5:20 pm to
I think on that special it said Bo put his own back in.I don't believe it.
Posted by LSU0358
Member since Jan 2005
7918 posts
Posted on 11/17/19 at 5:30 pm to
quote:

I was present twice when knees were dislocated.


I've seen one knee dislocated. Junior year of high school on a Thursday practice...Still shiver just thinking about it.
Posted by Mrtommorrow1987
Twilight Zone
Member since Feb 2008
13120 posts
Posted on 11/17/19 at 6:31 pm to
You pull really fricking hard on the leg and rotate. It’s painful as frick and the joint is usually really unstable after reducing. Hence why he is having surgery.
Posted by wdeagle
Member since Jun 2014
126 posts
Posted on 11/17/19 at 7:20 pm to
I grew too tall too fast. I was 6’1” by the 8th grade and am still that hight. That and sitting with my lower legs tucked under my hamstrings, most of the time, caused my kneecaps to settle too high in the joint.

Until I had surgery on both, my kneecaps would dislocate with quick side-to-side movement. This caused my leg to bend with my calf touching my hamstring. I’d take what ever leg was not dislocated, and push the dislocated one straight. The pain was so intense, I’d almost pass out. Then, after sliding back into joint, I’d get immediate relief.

It still would swell and hurt like hell, but the most painful part was the moment it (they) would dislocate, and the moment it slide back into alignment.
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
118990 posts
Posted on 11/17/19 at 7:22 pm to
quote:

How Did They Reduce Tua’s Hip Dislocation At The Stadium?



They reduced it?
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