Developmental Dysplasia of the Hip
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Wheeless' Textbook of Orthopaedics

Gravity Method of Stimson

- See: - Bigelow's Maneuver: for Posterior Hip Dislocation: - Closed Reduction - Discussion: - described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method; - believed to be least traumatic; - pt is in prone position w/ lower limbs hanging from end of table; - assistant immobilizes the pelvis by applying pressure on the sacrum; - hold knee and ankle flexed to 90 deg & apply downward pressure to leg just distal to the knee; - gentle rotatory motion of the limb may assist in reduction; - Contraindications: - superior dislocations of the pubic type in which the hip presents in extension are not amenable to a Stimson's maneuver because of the need for further extension to acheive reduction; ---------------------------------------------- Reduction of posterior dislocation of the hip in the prone position. Herwig-Kempers A. Veraart BE. Journal of Bone & Joint Surgery - British Volume. 75(2):328,1993 Mar.



Original Text by Clifford R. Wheeless, III, MD.