Bilateral Hip Dislocation: Unusual Injury Mechanism

Abstract

Bilateral hip dislocations are rare traumatic injuries considered as an orthopedic emergency. Most of the reported cases were caused by high-energy traffic accidents, a majority of which were along with femoral and acetabular fractures. The case in this study was a 25-year-old male who had severe pelvic tilt and lumbar lordosis due to the unusual mechanism of falling a heavy object from a high distance on his back. The vital signs were stable and the patient had no underlying disease. On examination, he had lower limb paresthesia, and the pelvic X-rays clearly showed that the patient had a right femoral head posterior dislocation with acetabular fracture and left femoral head obturator dislocation. Right after cardiopulmonary monitoring and checking the stability of vital signs as well as applying appropriate analgesia, a reduction was made, following which the patient’s lower limb paresthesia gradually reduced. The patient was transferred to the orthopedic ward and the surgical treatment of the right acetabular fracture was performed. He was then discharged from the hospital with a good and stable general condition.

Keywords

• hip
• dislocation
• bilateral
• injury