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Medication

Medication Summary

Patients who have experienced hip dislocation are usually in severe pain. The pain should be evaluated on a scale (0-10) and the patient provided with sufficient analgesia. While in the hospital, intravenous narcotics are the best choice for pain relief. Intravenous morphine (0.1 mg/kg q2-4h) is recommended for optimal analgesia. Postdischarge oral narcotics should be prescribed to keep the patient comfortable at home and during their rehabilitation period. Decreasing the inflammation near the site of injury by giving NSAIDs (eg, ibuprofen, naproxen) every 6 hours is also important. This enables the patient to be as comfortable as possible, while aiding in the healing process.

Class Summary

Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who have sustained trauma or who have sustained injuries.

Related Medscape Reference topic

Toxicity, Narcotics

Hydrocodone and acetaminophen (Lorcet, Lortab, Norcet, Vicodin)

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Drug combination indicated for moderate to severe pain.

Oxycodone and acetaminophen (Percocet, Roxicet, Roxilox, Tylox)

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Drug combination indicated for the relief of moderate to severe pain.

Oxycodone and aspirin (Percodan, Roxiprin, Codoxy)

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Drug combination indicated for the relief of moderate to severe pain.

Class Summary

NSAIDs have analgesic and antipyretic activities. The mechanism of action of these agents is not known, but NSAIDs may inhibit cyclooxygenase activity and prostaglandin synthesis. Other mechanisms may exist as well, such as inhibition of leukotriene synthesis, lysosomal enzyme release, lipoxygenase activity, neutrophil aggregation, and various cell membrane functions. Treatment of pain tends to be patient specific.

Related Medscape Reference topic

Toxicity, Nonsteroidal Anti-inflammatory Agents

Ibuprofen (Ibuprin, Advil, Motrin)

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Drug of choice (DOC) for mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.

Naproxen (Naprelan, Naprosyn, Aleve, Anaprox)

View full drug information

For the relief of mild to moderate pain; inhibits inflammatory reactions and pain by decreasing the activity of cyclooxygenase, which is responsible for prostaglandin synthesis.

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Media Gallery

Normal anteroposterior (AP) pelvis radiograph.
Right posterior hip dislocation in a young woman following a high-speed motor vehicle collision (MVC).
Fracture-dislocation of the right hip. The bony fragments are likely part of the acetabulum.

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Author

Matthew Gammons, MD Assistant Clinical Professor, Department of Family and Community Medicine, Medical College of Wisconsin; Medical Director, Castleton State College; Consulting Staff, Vermont Orthopaedic Clinic and Killington Medical Clinic

Matthew Gammons, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, American Society of Mechanical Engineers

Disclosure: Received income in an amount equal to or greater than $250 from: Up to Date.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Sherwin SW Ho, MD Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago Division of the Biological Sciences, The Pritzker School of Medicine

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, Herodicus Society, American Orthopaedic Society for Sports Medicine

Disclosure: Received consulting fee from Biomet, Inc. for speaking and teaching; Received grant/research funds from Smith and Nephew for fellowship funding; Received grant/research funds from DJ Ortho for course funding; Received grant/research funds from Athletico Physical Therapy for course, research funding; Received royalty from Biomet, Inc. for consulting.

Additional Contributors

Gerard A Malanga, MD Founder and Partner, New Jersey Sports Medicine, LLC and New Jersey Regenerative Institute; Director of Research, Atlantic Health; Clinical Professor, Department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey-New Jersey Medical School; Fellow, American College of Sports Medicine

Gerard A Malanga, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Physical Medicine and Rehabilitation, American College of Sports Medicine, American Institute of Ultrasound in Medicine, International Spine Intervention Society, North American Spine Society

Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: Lipogems.

Acknowledgements

The authors and editors of Medscape Reference gratefully acknowledge the contributions of previous authors Alexander Zlidenny, MD, and Federico E Vaca, MD, FACEP, to the development and writing of this article.

Hip Dislocation Medication

Medication Summary

Analgesics

Class Summary

Hydrocodone and acetaminophen (Lorcet, Lortab, Norcet, Vicodin)

Hydrocodone and acetaminophen (Lorcet, Lortab, Norcet, Vicodin)

Oxycodone and acetaminophen (Percocet, Roxicet, Roxilox, Tylox)

Oxycodone and acetaminophen (Percocet, Roxicet, Roxilox, Tylox)

Oxycodone and aspirin (Percodan, Roxiprin, Codoxy)

Oxycodone and aspirin (Percodan, Roxiprin, Codoxy)

Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Class Summary

Ibuprofen (Ibuprin, Advil, Motrin)

Ibuprofen (Ibuprin, Advil, Motrin)

Naproxen (Naprelan, Naprosyn, Aleve, Anaprox)

Naproxen (Naprelan, Naprosyn, Aleve, Anaprox)

Hip Dislocation Medication

Medication Summary

Analgesics

Class Summary

Hydrocodone and acetaminophen (Lorcet, Lortab, Norcet, Vicodin)

Hydrocodone and acetaminophen (Lorcet, Lortab, Norcet, Vicodin)

Oxycodone and acetaminophen (Percocet, Roxicet, Roxilox, Tylox)

Oxycodone and acetaminophen (Percocet, Roxicet, Roxilox, Tylox)

Oxycodone and aspirin (Percodan, Roxiprin, Codoxy)

Oxycodone and aspirin (Percodan, Roxiprin, Codoxy)

Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

Class Summary

Ibuprofen (Ibuprin, Advil, Motrin)

Ibuprofen (Ibuprin, Advil, Motrin)

Naproxen (Naprelan, Naprosyn, Aleve, Anaprox)

Naproxen (Naprelan, Naprosyn, Aleve, Anaprox)

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