Trauma-related simultaneous asymmetric bilateral hip dislocation: A case report.
Bedrettin Akar, Yusuf Ozturkmen, Sahabettin Mete et al.
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Case in brief
A 27-year-old man sustained simultaneous dislocations of both hips after high-energy trauma: the left hip was anteriorly dislocated and the right posteriorly. Both were reduced under general anesthesia using the Allis and Boehler maneuvers. Post-reduction imaging confirmed successful reduction and showed a small anterior acetabular wall fracture and a nondisplaced subcapital fissure of the left femoral head; neither finding was considered to require surgery.
What made this case unusual
The two hips were dislocated in opposite directions—anteriorly on the left and posteriorly on the right—an unusual asymmetric bilateral injury pattern.
Diagnostic / clinical pearl
After reducing traumatic hip dislocations, imaging can identify associated fractures or fissures that may not be apparent from the dislocation pattern alone.