Avoiding Disaster in the Management of Dislocated Hip Hemiarthroplasties; Case Presentation, Diagnosis, and Management

A 78-year-old woman with a history of multiple falls as well as hypertension, type 2 diabetes, hypothyroidism, polymyalgia rheumatica, dementia, and right middle cerebral artery stroke with residual left-sided weakness presented to the emergency department with a displaced femoral neck fracture after a nonsyncopal fall (Fig. 1). Emergency medicine physicians must remain vigilant for the direction of dislocation, date of surgery, and HA design before reduction to increase the likelihood of successful reduction and prevent adverse outcomes.