Bilateral asymmetrical hip dislocation with one side obturator intra-pelvic dislocation. Case report

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Hip dislocation is considered an orthopedic emergency and should be reduced as soon as possible to decrease rate of complications.

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Bilateral hip dislocation is very rare and usually results from high energy trauma mostly motor vehicle collisions.

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Asymmetrical bilateral simultaneous hip dislocation with one hip dislocated intra-pelvic through the obturator foramen is rare.

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Complex dislocation might better be reduced in the theatre.

Introduction

Hip dislocations usually occur as a result of motor vehicle accidents and require high energy trauma. Bilateral hip dislocations are rare compared to unilateral ones. Most reported cases are asymmetrical simultaneous bilateral anterior and posterior dislocations.

Case presentation

This case report describes a 32years female passenger who was involved in road traffic accident and had bilateral asymmetrical hip dislocations with one side posterior and the other side obturator intra-pelvic dislocation. Concentric reduction was achieved by closed reduction of both sides under general anesthesia but the patient required skeletal traction applied to the unstable side for three weeks.

Discussion

Hip dislocation is considered an orthopedic emergency and should be reduced as soon as possible to decrease rate of complications. Since hip dislocation usually occurs with high energy trauma so looking for associated injuries is of paramount importance and assessing such patients should be done according to advanced trauma life support.

Conclusion

Obturator intra-pelvic hip dislocation is challenging case and can be treated by closed reduction.