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Bilateral hip dislocation in a 79 years patient.

O Alexa¹, T Cozma, B Puha

¹Department of Orthopedics and Trauma, University of Medicine and Pharmacy Iaşi, Romania. ovidiu_alexa@yahoo.com

Chirurgia (Bucharest, Romania : 1990)

|April 7, 2012

Summary

This case report details a rare bilateral posterior hip dislocation in a 79-year-old male, an unusual occurrence in the elderly. The successful closed reduction highlights that advanced age does not preclude favorable outcomes for this hip injury.

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Area of Science:

Orthopedic Surgery
Trauma Care
Geriatric Medicine

Background:

Bilateral simultaneous hip dislocation is uncommon, typically reported in younger adults.
Previous literature documents this injury primarily in patients aged 20-30, with the oldest reported case at 65.
Elderly patients are often presumed to be at higher risk for fractures over dislocations due to bone density changes.

Observation:

A 79-year-old male sustained bilateral posterior hip dislocations following an agricultural accident.
Radiographs revealed associated left acetabular and pelvic ring fractures.
The patient presented with no prior hip abnormalities or ligamentous laxity.

Findings:

This is the first reported case of bilateral simultaneous hip dislocation in an elderly patient (79 years old).
Both hips were successfully reduced via closed manipulation under spinal anesthesia within three hours of presentation.
The injury occurred due to a significant external force from a heavy load falling on the patient's feet.

Implications:

This case challenges the assumption that elderly individuals are exclusively prone to fractures in high-impact pelvic injuries.
It underscores the importance of considering hip dislocation in the differential diagnosis for elderly trauma patients with pelvic injuries.
Prompt diagnosis and closed reduction can lead to successful outcomes even in the elderly population for this rare injury.