Dr. David Grainger: The patient is a 39-year-old female, physical education instructor whose automobile was involved in a head-on collision while returning from a weekend of skiing. She was unconscious for approximately three minutes but was oriented when she arrived at the local hospital. Her chief complaints were pain in her right hip, abdomen, and chest. Examination and x-ray films at the local hospital revealed the following injuries: (1) closed fracture of right acetabulum with posterior dislocation of right hip (Fig 1), (2) closed fracture of left fifth metacarpal, (3) fracture of left third rib, (4) laceration of right leg, (5) multiple contusions and abrasions, and (6) possible intraperitoneal injury.
A Foley catheter was inserted into the bladder without difficulty, and the specimen obtained was within normal limits. The patient was observed closely for several hours while being given appropriate fluid replacement, and gradual stabilization of her vital signs occurred.
Aufranc OE, Jones WN, Turner RH, Thomas WH. Fracture of Acetabulum With Dislocation of Hip and Sciatic Palsy. JAMA. 1967;201(9):690–691. doi:10.1001/jama.1967.03130090054013