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A Case Report of Bilateral Asymmetrical Traumatic Hip Dislocation - A Rare Presentation
Ritwika Nandi1, Pinaki Das2, Sujit Narayan Nandi1
1Department of Orthopaedics, Nil Ratan Sarkar Medical College and Hospital, 138 AJC Bose Road, Kolkata, West Bengal, India.
Journal of Orthopaedic Case Reports
|January 10, 2022
Summary
This case report details a rare asymmetric bilateral hip dislocation in a 34-year-old male. Early reduction and fracture fixation are crucial for preventing avascular necrosis (AVN) and ensuring functional recovery.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Radiology
Background:
- Asymmetric bilateral hip dislocations are exceptionally rare in medical literature.
- This report presents a unique case of traumatic bilateral hip dislocation with asymmetry.
Observation:
- A 34-year-old male sustained bilateral hip injuries in a motor vehicle accident.
- Delayed presentation (17 hours post-trauma) followed by closed reduction under anesthesia.
- Post-reduction assessment revealed a left posterior wall fracture, necessitating surgical fixation with spring plates.
Findings:
- The patient achieved pain-free, full range of motion within six months post-surgery.
- Three-year follow-up showed early avascular necrosis (AVN) changes, but without functional limitation.
Implications:
- Prompt management of hip dislocations and associated fractures is vital.
- Early intervention may mitigate the risk of long-term complications like avascular necrosis (AVN).
- This case highlights the importance of addressing both dislocation and fracture components for optimal outcomes.
