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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

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Bilateral traumatic hip dislocation with sciatic nerve palsy.

Ka Yuk Fan¹, Tun Hing Lui¹

¹Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong.

BMJ Case Reports

|March 27, 2015

Summary

This summary is machine-generated.

Traumatic bilateral hip dislocation is rare, especially with sciatic nerve palsy. Prompt reduction led to good neurological recovery and no long-term hip complications in a young woman with idiopathic scoliosis.

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Area of Science:

Orthopedics
Neurology
Traumatology

Background:

Bilateral hip dislocation is an uncommon orthopedic emergency.
Idiopathic scoliosis may predispose individuals to hip dislocations.
Sciatic nerve palsy can be a complication of hip dislocation.

Observation:

A young woman with idiopathic scoliosis presented with traumatic bilateral hip dislocation and unilateral sciatic nerve palsy.
The patient underwent prompt reduction of the dislocated hips.
Follow-up at 3 years showed no avascular necrosis of the femoral head or post-traumatic arthritis.

Findings:

Prompt reduction of traumatic bilateral hip dislocation resulted in reasonable neurological recovery.
Decreased femoral anteversion was identified as a contributing factor in this case.
The case highlights potential gender differences and scoliosis predisposition in hip dislocation incidence.

Implications:

Early diagnosis and prompt management of bilateral hip dislocation are crucial for favorable outcomes.
Understanding predisposing factors like idiopathic scoliosis and decreased femoral anteversion can aid in risk assessment.
This case contributes to the literature on rare orthopedic injuries and their management.