Adam Hoffman1, Benjamin C Taylor2. 1. The Department of Orthopaedic Surgery, Kettering Health Network Grandview Medical Center, Dayton, Ohio. 2. The Department of Orthopaedic Surgery, Grant Medical Center, Columbus, Ohio.
Abstract
CASE: Traumatic bilateral asymmetric hip dislocation represents an exceedingly rare injury pattern in which one hip dislocates anteriorly and the contralateral hip dislocates posteriorly. Few reports of this injury pattern have been published in the English literature, and no report of this pattern with arterial occlusion has been described. We report a case of asymmetric hip dislocations presenting with a pulseless lower extremity after a motor vehicle accident. No arterial injury was identified on computed tomography angiogram. Fractures of the proximal femur and acetabulum were also absent, bilaterally. CONCLUSIONS: We present a patient who patient underwent successful closed reduction with return of pulses in the left leg and required no further intervention for his hip dislocations.
CASE: Traumatic bilateral asymmetric hip dislocation represents an exceedingly rare injury pattern in which one hip dislocates anteriorly and the contralateral hip dislocates posteriorly. Few reports of this injury pattern have been published in the English literature, and no report of this pattern with arterial occlusion has been described. We report a case of asymmetric hip dislocations presenting with a pulseless lower extremity after a motor vehicle accident. No arterial injury was identified on computed tomography angiogram. Fractures of the proximal femur and acetabulum were also absent, bilaterally. CONCLUSIONS: We present a patient who patient underwent successful closed reduction with return of pulses in the left leg and required no further intervention for his hip dislocations.