Asymmetrical bilateral traumatic fracture dislocation of the hip: A report of two cases

Abstract

We report on two cases of simultaneous asymmetrical bilateral hip dislocation. Both patients were involved in car accidents. The first case is a 23-year-old man who had a bilateral hip dislocation, anterior on the right side and posterior on the left associated with bilateral femoral head fracture. The second case presented the same dislocations of the hips associated with acetabular fracture on the right side. Closed reduction of the hips was performed in both cases. In the first case the femoral head fragments was subsequently removed. In the second case internal fixation of the acetabular fracture was postponed.

Bilateral Asymmetric Traumatic Hip Dislocation with Bilateral Acetabular Fracture: Case Report

“…[1] In the English literature, there have been a total of 58 cases with bilateral hip dislocation. [2,3] Those are cases with pure dislocation or with accompanying injuries like sciatic nerve injury, femoral fracture, patellar fracture, and acetabulum and femoral head fracture. [11,12] Only four cases with asymmetric hip dislocation and unilateral acetabular fracture have been reported to date.…”

“…[1] In a review of the literature to date, we found totally 58 reported cases of bilateral traumatic hip dislocation. [2,3] Only four cases of asymmetric hip dislocations with unilateral acetabular fracture have been reported to date. [3][4][5][6] A single case of asymmetric hip dislocation with bilateral acetabular fracture has been reported.…”

“…[2,3] Only four cases of asymmetric hip dislocations with unilateral acetabular fracture have been reported to date. [3][4][5][6] A single case of asymmetric hip dislocation with bilateral acetabular fracture has been reported. [2] In this article, a 28-year-old male with right anterior and left posterior hip dislocations and right acetabular anterior and left acetabular posterior rim fractures is presented.…”

Asymmetrical Bilateral Hip Dislocation

“…When asymmetrical dislocations occur, one posterior and one anterior, it is believed that forces in two opposite directions are needed, making it an extremely rare injury 2, 3…”

Fracture-Dislocation of the Hip

“…These injuries are well-recognized orthopedic emergencies that have steadily increased in incidence for recent decades, presumably because of the increase in high-speed motor vehicle accidents and the failure to wear seat belts, constituting 2% to 5% of all traumatic dislocations. 1,2 Early recognition and a prompt, stable reduction are essential to prevent complications and reduce morbidity. 1,3 The degree of containment of the femur head in the acetabulum usually necessitates a fracture of the acetabular wall when the hip dislocates, and occasionally, there is a concurrent fracture of the head or neck of the femur.…”