Bilateral asymmetrical hip dislocation with one side obturator intra-pelvic dislocation. Case report
Abdullah Saad Abdulfattah Abdullah1, Ayman Abdelhady1, Abduljabbar Alhammoud1
1Hamad Medical Corporation, Department of Orthopedic Surgery, P.O. Box 3050, Doha, Qatar.
International Journal of Surgery Case Reports
|March 7, 2017
Summary
This case report details a rare instance of bilateral asymmetrical hip dislocations following a road traffic accident. Prompt closed reduction was successful, though skeletal traction was needed for the unstable hip.
Area of Science:
- Orthopedics
- Trauma Surgery
- Emergency Medicine
Background:
- Hip dislocations are typically caused by high-energy trauma, often from motor vehicle accidents.
- Bilateral hip dislocations are uncommon, with most cases presenting as asymmetrical anterior and posterior dislocations.
Purpose of the Study:
- To report a rare case of bilateral asymmetrical hip dislocations, including an obturator intra-pelvic dislocation.
- To highlight the management and outcomes of such complex injuries.
Main Methods:
- A case report of a 32-year-old female passenger involved in a road traffic accident.
- Management involved closed reduction under general anesthesia and subsequent skeletal traction for the unstable hip.
Main Results:
- Successful concentric reduction of both hips was achieved through closed reduction.
- The patient required three weeks of skeletal traction for the unstable hip dislocation.
Conclusions:
- Hip dislocation is an orthopedic emergency requiring prompt reduction to minimize complications.
- Thorough assessment for associated injuries is crucial in high-energy trauma cases, following Advanced Trauma Life Support protocols.
- Obturator intra-pelvic hip dislocation, though challenging, can be effectively managed with closed reduction.
