Post-traumatic bilateral posterior hip dislocations with femoral head fracture on one side and acetabular fracture on the other side: a very rare presentation

Hip dislocations are common orthopaedic emergencies which need early intervention to have a better outcome. They usually occur as a result of high energy trauma with motor vehicle accidents being the most common cause followed by fall from height. Posterior hip dislocation is more common than anteri...

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Bibliographic Details
Published in:BMJ case reports 2021-01, Vol.14 (1), p.e239339
Main Authors: Hegde, Atmananda, Mane, Prajwal Prabhudev, Khanna, Vikrant, Rao, Seetharama
Format: Article
Language:English
Subjects:
Accidents, Traffic
Acetabulum - injuries
Adult
Arthritis
Asymptomatic
Case Report
Case reports
Femur Head - injuries
Fractures
General anesthesia
Hip dislocation
Hip Dislocation - diagnostic imaging
Hip Dislocation - etiology
Hip Dislocation - surgery
Hip Fractures - diagnostic imaging
Hip Fractures - etiology
Hip Fractures - surgery
Hip joint
Humans
Injuries
Male
Medical imaging
Traction (Orthopedics)
Trauma
X-rays
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Summary:Hip dislocations are common orthopaedic emergencies which need early intervention to have a better outcome. They usually occur as a result of high energy trauma with motor vehicle accidents being the most common cause followed by fall from height. Posterior hip dislocation is more common than anterior. However, bilateral hip dislocations are rare compared with unilateral. Here we report our case with bilateral posterior hip dislocation with one side having head of femur fracture and contralateral side acetabulum fracture. Both hips were reduced under general anaesthesia on the same day of the trauma. Staged definitive treatment was carried out. The patient had an early recovery with no complications. This case represents an unusual, type of injury resulting from a high speed motor vehicle accident. Early diagnosis, immediate resuscitation and reduction of the hip joints followed by a careful and planned definitive treatment is necessary to have a better outcome.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-239339