EM@3AM: Total Hip Arthroplasty Complications
A 75-year-old female with past medical history of osteoporosis and total hip arthroplasty (3 months prior) presents with acute left hip pain after ground level fall. Initial vital signs include T 36.8, HR of 91, BP 138/88, RR 16, SPO2 98% on RA. On exam she is found in moderate distress lying supine and still on the gurney. Left lower extremity (LLE) is shortened, adducted, and internally rotated. 2+ dorsalis pedis and posterior tibial pulses are palpable, and sensation is intact to light touch distally. The patient is able to plantarflex and dorsiflex the foot/toes but motor exam is otherwise limited due to pain.
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