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Asymmetrical bilateral traumatic hip dislocation with ipsilateral acetabular fracture.
A A Martínez1, F Gracia, J Rodrigo
1Department of Orthopaedic and Trauma Surgery, San Jorge Hospital, Avda, Martínez de Velasco s/n, 22071 Huesca, Spain.
Summary
This case study details a rare simultaneous asymmetrical bilateral traumatic hip dislocation (one anterior, one posterior) with an acetabular fracture. Prompt closed reduction and subsequent internal fixation were successfully performed.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Radiology
Background:
- Traumatic hip dislocations are uncommon orthopedic emergencies.
- Simultaneous bilateral hip dislocations are exceptionally rare.
- Asymmetrical dislocations (anterior and posterior) present unique challenges.
Observation:
- A 36-year-old male sustained a traffic accident resulting in simultaneous asymmetrical bilateral traumatic hip dislocation.
- One hip presented with an anterior dislocation, while the contralateral hip exhibited a posterior dislocation.
- An ipsilateral acetabular fracture was identified in conjunction with the dislocations.
Findings:
- Closed reduction was successfully performed for both dislocated hips.
- Delayed internal fixation was required for the acetabular fracture.
- The patient's presentation highlights a complex polytrauma scenario.
Implications:
- This case underscores the importance of thorough clinical examination and imaging in suspected hip trauma.
- Management requires a tailored approach considering the type and severity of dislocations and associated fractures.
- Such rare injuries provide valuable insights into biomechanics and surgical techniques in trauma management.