PHHH # 794.4 Date: October 8, 2000 Weather: Spare Venue: Rosedale Park Time: 1:12 Set By: The Cuban Assassin and Geezer Hashers: Tropical Depression, LLLoda, Hey Yo Paully, Juicy, Definitely Not a Rat's Ass, Ouipee, Discomfort, John Rookie: Karen Absent Without Leave: Jai aka Break a Leg, or, more appropriately, Hopalong Hash Dislocation (With apologies to Lisa Moriarty, R.N., M.S.N., and Wheeless' Textbook of Orthopaedics) What is dislocation of the hip and why does it occur? Dislocation occurs when the ball of the hip joint comes out of the socket. This can happen when a patient leaves a WaWa after insulting the clerk and a police officer, drives his car at high speed on Quaker Bridge Road, and, on encountering a brightly marked tree in the median, his leg hits the dashboard at high speed, which pops the ball from the liner of the socket. What happens when a hip dislocates? Initially, it is very painful. The patient is stunned and then upset. He cannot walk or follow infrequently marked hashes, the leg shortens and turns outward--suddenly the hip, thigh or knee can have pain. Most patients go to the emergency room after chastizing the police officer in the tailgating car and the tree that was minding its own business on impact. What should a patient do if a hip does dislocate? Lie down, put ice on the hip, ask for oxygen and opiates, call an ambulance, insist that the driver used to room with the patient, ask to be transported to the emergency room, and think about all the swampy terrain he won't be crossing that leads to dead end check marks. How can a patient guard against redislocation? For Six Weeks after Surgery: Do not sit on chairs that are low Do not run down streams over slippery mudstone Do not sleep in any position other than on your back with a pillow between the legs Do not trip over roots or fallen timbers Do not cross your legs at your knees Do not sprint to the Geezer's car under the happy impression that you are first to cooler Do not pick up anything from the floor without using a gadget called a reacher Do not reach down for salsa without using a long spoon or cantilevered nacho chip Do not drive a car The more restrictive “don’ts” normally only apply for about six weeks after surgery until the muscles around the hip are strong enough to prevent dislocation. There are, however, long-term restrictions to prevent later dislocation. For a Lifetime: Never cross your legs at your knees Never skip across a fallow field singing, "I Could Have Danced All Night" Never squat Never bring your knee to your chest (as in putting on shoes or jumping into Stony Brook) Never do the Pelvic Thrust during The Rocky Horror Picture Show Constant repetitive motions such as these can stretch muscles and cause dislocation. Fortunately, this complication can be fixed. Remember, prevention is the key to a good recovery! Next accident waiting to happen: 'Bumps, what's on the menu?