Trauma-related simultaneous asymmetric bilateral hip dislocation: A case report

Trauma-related simultaneous asymmetric bilateral hip dislocations (SABHDs) are extremely rare cases. High-energy trauma plays a role in their etiology. Traumatic hip dislocations account for 2-5% of all dislocations. Of all hip dislocations, 90% are posterior and 10% anterior. Bilateral traumatic hip dislocation is exceedingly rare. Asymmetric dislocations are even rarer, accounting for approximately 0.01-0.02% of all joint dislocations. This study aimed to evaluate a patient with trauma-related SABHD through a case presentation and discuss therapeutic options. A 27-year-old male patient was diagnosed with dislocation of both hips (left hip anterior and right hip posterior) following high-energy trauma. The patient was prepared for general anesthesia under emergency conditions and was taken to the operating room 2 h after admission to the emergency department without waiting for the fasting period. Under general anesthesia, left anterior and right posterior hip dislocations were reduced using the Allis and Boehler maneuvers. Direct radiography, computed tomography, and spiral tomography performed after the procedure demonstrated a successful reduction in both hips. While no bony pathology was observed in the right hip, a small fracture of the anterior acetabular wall and a non-displaced fissure line in the subcapital region of the femoral head were detected in the left hip; however, surgical intervention was not considered for either pathology. Since SABHD is caused by high-energy trauma, patients should be managed with a multidisciplinary approach. To prevent or minimize potential complications, the dislocations must be reduced as soon as possible.