Hip Dislocation

The hip joint is one of the body’s largest and most stable joints, but when the head of the femur is forced out of the hip socket, it can result in severe pain, loss of function, and long-term complications if not treated promptly. In this article, we will explain what a dislocated hip is, how it feels, its common causes, risk factors, potential complications, diagnosis, and treatment options.

If you or someone you love has experienced a dislocation of the hip or other hip injuries, our experienced team at Orthopedic Specialists & Sports Medicine, with locations in Granville and Coshocton, OH, is here to provide expert care and treatment. Schedule an appointment today.

What is a Dislocated Hip?

A dislocated hip occurs when the head of the femur (the ball) is forced out of the hip socket (the acetabulum). Because the hip is a ball-and-socket joint, this displacement disrupts normal hip stability and mobility.

There are two primary types of traumatic hip dislocation:

  • Posterior dislocation: The most common type, where the femoral head is pushed backward out of the socket.
  • Anterior dislocation: Less common, where the femoral head is displaced forward.
 

In some cases, a partial dislocation may occur, where the femoral head is only partially displaced. Whether partial or complete, hip dislocations are considered a medical emergency that often results from significant traumatic injury.

A woman in severe pain caused by a hip dislocation in Ohio.

What Does it Feel Like?

A hip dislocation causes severe pain in the hip and leg. Patients often cannot move the affected leg, and the leg may appear shorter or turned inward or outward, depending on the type of dislocation. Other common symptoms include:

  • Intense hip pain that worsens with any attempt to move
  • Inability to bear weight on the leg
  • Visible deformity or misalignment of the hip and leg
  • Numbness or weakness if the sciatic nerve or femoral artery is affected
 

Because of the extreme pain and functional loss, most patients recognize immediately that something is seriously wrong.

Causes and Risk Factors

Most dislocations result from a significant traumatic injury, such as:

  • Motor vehicle accidents
  • High-impact sports injuries
  • Severe falls
 

Other causes include hip dysplasia (a condition where the hip bone and socket don’t align properly) or complications after a total hip replacement. Individuals with weaker bones or prior hip surgery may also be at higher risk.

Complications

A hip dislocation is not only painful but also dangerous if not treated quickly. Possible complications include:

  • Associated fracture, such as an acetabular fracture of the hip socket or a fracture of the femur
  • Sciatic nerve injury, leading to numbness, tingling, or weakness in the leg
  • Avascular necrosis, where the blood supply to the femoral head is interrupted, leading to bone death
  • Long-term hip instability or arthritis
  • Damage to surrounding soft tissues, blood vessels, and other related injuries
 

Prompt evaluation and treatment by an orthopaedic surgeon are crucial to reduce these risks.

How is a Dislocated Hip Diagnosed?

Diagnosis begins with a physical evaluation, where an orthopedic surgeon examines the hip’s appearance, alignment, and mobility. Because dislocation often occurs alongside other related injuries, imaging tests are essential. These may include:

  • X-rays to confirm the position of the femoral head and check for fractures
  • CT scans to assess more complex injuries
  • MRI scans if soft tissue or cartilage damage is suspected
 

Early and accurate diagnosis ensures proper treatment planning.

How is a Dislocated Hip Treated?

Treatment depends on the severity of the dislocation and whether there is an associated fracture or other related injuries. Common approaches include:

  • Closed reduction: Under general anesthesia, the orthopedic surgeon carefully manipulates the femoral head back into the socket. This is the first-line treatment if there are no major fractures.
  • Surgical treatment: If there is an acetabular fracture, fragments of hip bone, or repeated dislocations, surgery may be required to restore the joint. Some patients may eventually require a total hip replacement.
 

Because dislocation can compromise blood flow, timely treatment is essential to prevent complications such as avascular necrosis.

Recovery

Recovery varies based on the type of dislocation, whether fractures are present, and the patient’s overall health. After the hip joint is stabilized, patients typically undergo:

  • Hospital observation to monitor blood flow and nerve function
  • Limited weight-bearing activities in the early stages
  • A structured physical therapy program to restore mobility, strengthen muscles, and protect the hip joint
  • Close follow-up with an orthopedic surgeon to monitor healing and prevent long-term instability
 

While many patients can return to normal activities, recovery from traumatic hip dislocation may take several months. Preventing re-injury and maintaining a healthy hip are critical parts of long-term care.

Restoring Hip Stability and Mobility with Expert Care

If you or a loved one is experiencing hip pain, a recent hip injury, or complications from a traumatic hip dislocation, trust our skilled team at Orthopedic Specialists & Sports Medicine. With locations in Granville and Coshocton, Ohio, our expert orthopedic surgeons are here to guide you through every step of diagnosis, treatment, and recovery.

Schedule an appointment today to get back to a pain-free and active life.

Medically reviewed by Eric Erb, MD