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CONDITION/DISORDER SYNONYM

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  • Hip subluxation

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ICD-9-CM CODES

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  • 835 Dislocation of hip

  • 835.0 Closed dislocation of hip

  • 835.00 Closed dislocation of hip, unspecified site

  • 835.01Closed posterior dislocation of hip

  • 835.02 Closed obturator dislocation of hip

  • 835.03 Other closed anterior dislocation of hip

  • 835.1 Open dislocation of hip

  • 835.10 Open dislocation of hip, unspecified site

  • 835.11 Open posterior dislocation of hip

  • 835.12 Open obturator dislocation of hip

  • 835.13 Other open anterior dislocation of hip

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FIGURE 185-1

Computed tomographic image (top) and x-ray (bottom) of a patient with a spiral fracture of the right femur with an ipsilateral acetabular fracture. X-ray images postoperatively demonstrate the reamed nail with locking screw that internally fixes the femur, as well as the acetabular plate fixation. Note also the pubic ramus fracture that did not require surgical treatment. (From Brunicardi FC et al. Schwartz’s Principles of Surgery. 9th ed. http://www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
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FIGURE 185-2

Femoral dislocations and fractures. (From LeBlond RF, DeGowin RL, Brown DD. DeGowin’s Diagnostic Examination. 9th ed. http://www.accessmedicine. com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)

Graphic Jump Location
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ICD-10-CM CODES

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  • S71.009A Unspecified open wound, unspecified hip, initial encounter

  • S73.00 Unspecified subluxation and dislocation of hip

  • S73.006A Unspecified dislocation of unspecified hip, initial encounter

  • S73.016A Posterior dislocation of unspecified hip, initial encounter

  • S73.026A Obturator dislocation of unspecified hip, initial encounter

  • S73.036A Other anterior dislocation of unspecified hip, initial encounter

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PREFERRED PRACTICE PATTERN

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  • 4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction

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PATIENT PRESENTATION

A 35-year-old female presents with global hip pain and dysfunction after a posterior hip dislocation 2 weeks ago. The patient sustained a hip dislocation when the car she was riding in rear-ended another vehicle. The patient reports her knee pressed into the dashboard during accident, resulting in immediate pain in her posterior hip. As EMS arrived, it was noted that her lower extremity (LE) appeared shorter than her uninvolved. After emergency transport to the ER, pre-reduction X-rays revealed posterior dislocation of the femoral head from the acetabulum. Pre- and post-reduction X-rays did not show evidence of associated fractures of acetabulum or femur.

The patient currently presents with an inability to ambulate without assistive device secondary to pain, weakness and loss of balance. The patient has an inability to don/doff shoes and socks or perform dressing without assistance due to diminished hip mobility. The patient has global weakness of hip musculature and reduced range of motion in all planes of motion. The patient is negative for neurovascular deficits in the involved LE. The physician has ordered follow up ...

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