Question

A patient fell down from bicycle & started having pain around hip, shortening of limb & attitude was flexion, adduction, IR of hip 

• A. Anterior dislocation
• B. Transcervical fracture
• C. Posterior dislocation
• D. IT Fracture

Answer 1

The Correct Option is C

To determine the most likely diagnosis based on the symptoms described, let's analyze each option provided:

1. Anterior dislocation: When the hip is dislocated anteriorly, the limb typically presents with abduction, external rotation (ER), and some flexion. The symptoms in the case do not match this presentation.
2. Transcervical fracture: This type of fracture involves the neck of the femur. The limb is often shortened and held in external rotation, not internal rotation (IR) and adduction as observed in the patient.
3. Posterior dislocation: This is characterized by the classic triad of limb shortening, flexion, adduction, and internal rotation of the hip, which aligns perfectly with the symptoms described in the scenario.
4. Intertrochanteric (IT) fracture: Typically presents with external rotation and shortening of the limb, differing from internal rotation as seen in this patient.

Given the alignment of symptoms, the correct diagnosis is therefore Posterior dislocation.