Bilateral asymmetrical hip dislocation after falling from height: a case report

Abstract

We are reporting a case of asymmetrical bilateral dislocation of hip in a 60 years old man after falling from 6 meters height. 4 hours after injury the patient was transferred to OR and a closed reduction of hip was done for him which was successful. The time interval between injury and reduction is crucial for these patients. A literature review to compared sexual distribution, mechanism of dislocation, and associated fractures between patients with asymmetrical bilateral dislocation of hip (n=103) and unilateral dislocation of hip (n=105) revealed that female to male ratio is almost similar in both groups but most patients were male in our population (81%). Traffic accidents are the most common cause of dislocation. But the odds of this mechanism is about 2 times larger in unilateral patients (OR=0.46). Fractures were more common among patients with asymmetrical bilateral dislocation and the most common associated fractures included: Acetabulum (52.8%), posterior edge (21.3%), femur neck (18.5%), femur head (3.7%) and pelvis (3.7%).

Keywords

• Hip dislocation
• asymmetrical bilateral hip dislocation