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Bilateral simultaneous traumatic hip dislocation in opposite directions: a case report.
Kerem Bilsel1, Bugra Alpan, Ender Ugutmen
1Goztepe Training and Research Hospital, Istanbul, Turkey. kbilsel@gmail.com
Acta Orthopaedica Belgica
|June 5, 2009
Summary
This case report details a rare instance of simultaneous bilateral traumatic hip dislocation in opposite directions. Prompt closed reduction and early mobilization led to a successful recovery for the patient.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Bilateral traumatic hip dislocation is an uncommon injury.
- Simultaneous dislocations in opposite directions (anterior and posterior) are exceptionally rare.
Observation:
- A 42-year-old female sustained simultaneous anterior dislocation of the left hip and posterior fracture dislocation of the right hip after a motor vehicle accident.
- The patient presented to the emergency department following the trauma.
Findings:
- Both hip dislocations were successfully reduced using closed manipulation under general anesthesia.
- Computerized tomography confirmed successful reduction of both hips.
- No skeletal or skin traction was required post-reduction.
Implications:
- This case highlights the possibility of managing complex bilateral hip dislocations with closed reduction.
- Early range of motion exercises and mobilization can lead to favorable outcomes.
- The successful management strategy offers insights for treating similar rare orthopedic emergencies.