Bilateral Asymmetric Dislocations of Hip Joints: An Unusual Mechanism of Injury

Author:

Kanojia Rajesh Kumar1,Patra Satya Ranjan2,Gupta Sumit3

Affiliation:

1. Department of Orthopaedics, Lady Hardinge Medical College, New Delhi 110001, India

2. Sparsh Hospitals and Critical Care, Bhubaneswar, Odisha 751015, India

3. Saraswathi Institute of Medical Sciences, Hapur, Ultra Pradesh 245304, India

Abstract

Asymmetric bilateral dislocations of the hips are rare injuries. Among the small number of reports in the literature, most have attributed the cause to high-velocity motor crashes. These dislocations are often seen to be associated with fractures of the proximal femur or the acetabulum. We present a case of a 45-year-old man with bilateral asymmetric dislocation of hips which were purely ligamentous in nature, without any fracture. He sustained his injuries due to a fall while getting on a moving bus. It was an unusual mechanism of injury as compared to the other cases of asymmetric hip dislocations reported in published studies. Both hips were reduced under general anaesthesia within three hours of the trauma. Skin traction and non-weight-bearing rehabilitation were continued for six weeks. After 35 months of followup, the patient remains asymptomatic. Early diagnosis and timely reduction of such dislocations under anaesthesia are necessary for prevention of complications.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

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