Bilateral Asymmetrical Hip Dislocation in a 70-year-old Female: A Rare Case Report

Abstract

Traumatic dislocation of the hip joint is a rare injury representing 2%–5% of all dislocations while bilateral hip dislocation accounts for 1.25% of all hip dislocations. Asymmetrical hip dislocations are even rarer accounting for approximately 0.01%–0.02% of all hip joint dislocations. We are reporting a case of bilateral asymmetrical hip dislocations with left-sided posterior dislocation and right anterior dislocation in a 70-year-old female following a road traffic accident. It is pertinent to thoroughly evaluate the patient on the Advanced Trauma Life Support guidelines. After evaluation, it is vital to reduce hip dislocation within 6 h from the time of injury to prevent complications like avascular necrosis of the femoral head. Relevant anatomy, injury mechanism, classification, diagnosis, associated injuries, treatment, and complications have also been discussed.

Keywords

• avascular necrosis of femoral head
• bilateral hip dislocation
• high-velocity injury