Asymmetric Bilateral Hip Dislocations with a Pulseless Left Lower Extremity: A Case Report
Adam Hoffman1, Benjamin C Taylor2
1The Department of Orthopaedic Surgery, Kettering Health Network Grandview Medical Center, Dayton, Ohio.
JBJS Case Connector
|October 22, 2019
Summary
This case report details a rare traumatic bilateral asymmetric hip dislocation following a motor vehicle accident. Successful closed reduction restored pulses, highlighting a unique management approach for this complex injury.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Vascular Surgery
Background:
- Traumatic bilateral asymmetric hip dislocation, with one hip dislocating anteriorly and the other posteriorly, is an exceptionally rare injury.
- Limited English literature exists on this specific injury pattern.
- No prior reports have documented this presentation in conjunction with arterial occlusion.
Observation:
- A case of asymmetric hip dislocations presented after a motor vehicle accident, characterized by a pulseless lower extremity.
- Computed tomography angiography revealed no arterial injury.
- The patient had no associated bilateral proximal femur or acetabular fractures.
Findings:
- Successful closed reduction of the asymmetric hip dislocations was achieved.
- Post-reduction, pulses returned to the affected lower extremity.
- No further intervention was required for the hip dislocations.
Implications:
- This case expands the understanding of traumatic hip dislocation presentations.
- It underscores the importance of prompt evaluation and management of neurovascular compromise in hip dislocations.
- Successful non-operative management of this rare injury pattern is demonstrated.
