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Bilateral asymmetrical traumatic hip dislocation
S.S. Sangwan,Z.S. Kundu,K.M. Marya,G. Bhardwaj,R.C. Siwach
Journal of Orthopaedics and Traumatology , 2002, DOI: 10.1007/s101950200029
Abstract: We report a case of traumatic, simultaneous right anterior and left posterior hip dislocation without associated fractures, suffered in a high velocity traffic accident by a 35-year-old man. Closed reduction of both hips was successfully performed. The mechanism of this injury is discussed.
Bilateral Asymmetrical Traumatic Hip Dislocation in an Adult  [PDF]
Neeraj Mahajan, Arti Khurana*, Dara Singh, Ghanshyam Dev*
JK Science : Journal of Medical Education & Research , 2010,
Abstract: Bilateral hip dislocation occurring as a result of trauma is a rare condition. Simultaneous anterior andposterior traumatic dislocation of both hips is even more unusual. A case is reported of bilateral asymmetricaltraumatic hip dislocation in previously normal hips in a 20 year old adult male without an associatedfracture of the pelvis or femur. An unusual mechanism for this injury is also described.
Differentiating subluxation from developmental dislocation of the hip  [cached]
Joao O. Tavares
Orthopedic Reviews , 2012, DOI: 10.4081/or.2012.e7
Abstract: The radiological and clinical picture of a developmental hip dislocation and a severe subluxation are identical. According to Leveuf and Wiberg the diagnosis can only be made by arthrography. The differential diagnosis is critical, as treatment differs dependent on the diagnosis. In this study, the diagnosis of subluxation was based on a plain radiograph of the pelvis. A radiograph of the pelvis with the hips abducted at least 45° and internally rotated (AIR view) was used to differentiate these two entities. In subluxations, the femoral head will relocate into the acetabulum with perfect or near perfect reconstitution of the Shenton’s line. It will fail to do so in true dislocations. Five patients, mean age 14.6 months (range 9 to 20 months), presented with delayed diagnosis of hip dysplasia. The examination revealed minimal or no limitation of hip abduction, a leg length discrepancy, and a Trendelenburg gait in the three walking age girls. The radiograph suggested a hip dislocation. The diagnosis of hip subluxation was based on the relocation of the femoral head with the abduction/internal rotation radiograph. All were successfully treated with an Ilfeld abduction splint. None had examination with general anesthesia, arthrograms, traction or immobilization in spica cast. Avoiding over diagnosis of hip dislocation in cases of subluxation is important. This is necessary to prevent overtreatment and to accurately assess the results of treatment. The abduction/internal rotation view may achieve this goal while avoiding diagnostic and therapeutic procedures, such as arthrograms, cast immobilization and surgery.
Central dislocation of the hip secondary to insufficiency fracture  [cached]
Moe Thaya,Sivan Sivaloganathan,Andrew Sankey,Charles E.R. Gibbons
Orthopedic Reviews , 2010, DOI: 10.4081/or.2010.e5
Abstract: We present a case report of a 45-year old man who sustained a central dislocation of the hip secondary to an insufficiency fracture of the acetabulum. At the time of presentation he was on alendronate therapy for osteoporosis which had been previously investigated. CT scanning of the pelvis was useful for pre-operative planning which confirmed collapse of the femoral head but no discontinuity of the pelvis. The femoral head was morcellized and used as bone graft for the acetabular defect and an uncemented total hip replacement was performed.
Obturator Dislocation of the Hip at Yopougon/Abidjan Teaching Hospital  [PDF]
Alidou Traoré, Daouda Kanaté Soumaro, Christel Mobiot-Aka, Alban Slim Mbende, Rebecca Eva Boka, Mamadou Dosso, Kader Sy, Jean Baptiste Sie Essoh, Insa Bamba, Yves Lambin
Open Journal of Orthopedics (OJO) , 2015, DOI: 10.4236/ojo.2015.510043
Abstract: Obturator dislocation of the hip is caused by high-velocity accidents as evidenced by its frequent association with other traumatic injuries and, seldom found. Its main complication remains femoral head avascular necrosis. We report on four cases of obturator dislocation of the hip. The mean age of patients was 30 years, and all their injuries followed a road traffic accident. Associated lesions were a contralateral femur fracture in two cases and an osteochondral fracture in one case. Reduction of dislocations was achieved orthopedically under general anaesthesia and the average waiting time before reduction was 20 hours. One patient had an intra-articular incarcerated fragment visible on X-ray, and another patient showed signs of early coxarthrosis 15 months later. The average follow-up time was 24 months.
Simultaneous anterior and posterior dislocation of hip (a case report).  [cached]
Nadkarni J
Journal of Postgraduate Medicine , 1991,
Abstract: A rare case of simultaneous anterior and posterior dislocation of hip joints is presented. The mode of injury and its management have been discussed.
Protrusive Fracture Dislocation of the Hip with Preservation of Function
Amine Belmoubarik, Nabil Omari, Reda Ghabri, Younes El Allali, Ahmed Reda Haddoun, Mustapha Fadili, Mohamed Nechad
Open Access Library Journal (OALib Journal) , 2015, DOI: 10.4236/oalib.1101770
Abstract: The authors report a rare case of a young man of 20 who presented following an accident of the public highway a protrusive neglected fracture dislocation of the hip without impaired function. This is an observation describing frequent lesion entity in our context in the absence of major functional impact and the old character of the lesion. The abstention was the therapeutic adopted choice. We will discuss the mechanisms, our therapeutic attitude and evolution of this clinical entity through the analysis of this observation.
Arthroscopic removal of intraarticular fragments following fracture dislocation of the hip  [cached]
Bagaria Vaibhav,Sapre Vikram
Indian Journal of Orthopaedics , 2008,
Abstract: We report here a case of posterior dislocation of hip with fracture of posterior lip of acetabulum, with retained fracture fragments after a successful closed reduction. The fractured fragments were removed by arthroscopy of the hip. The technique of hip arthroscopy used in removing the fragments is discussed.
Traumatic dislocation of the hip joint - pattern and management in a Tropical African Population
TO Alonge, SO Ogunlade, OE Idowu
West African Journal of Medicine , 2002,
Abstract: Traumatic dislocation of the hip is an orthopaedic emergency for which early reduction is indicated. This article describe our experience of the pattern and choice of management of traumatic dislocation of the hip joint in a tropical African population. Majority of the dislocation (87%) were Thompson and Epstein's grades I and II which were easily managed by closed reduction following the administration of titrated intravenous analgesic and intravenous diazepam. This treatment option is cheap and readily administrable to avoid undue delays in the management of this orthopaedic emergency. All the close reduction were carried out in the accident and emergency room except for one patient with bilateral posterior hip dislocation who had his reduction on the ward. Early diagnosis and treatment of traumatic hip dislocation are essential to reduce the morbidities that are commonly associated with delay in reduction.
Posterior Dislocation of the Hip in a 4-Year-Old Boy  [PDF]
Serhat Mutlu, Bulent Yucel, Tahir Mutlu Duymus, Baran K?mür, Ozgur Karaman, Harun Mutlu
Case Reports in Clinical Medicine (CRCM) , 2015, DOI: 10.4236/crcm.2015.41006
Traumatic hip dislocations occur in children below 15 years old. Just as in adults, posterior hip dislocations are 10 times more common than anterior hip dislocations. Traumatic hip dislocation in pediatric patients < 10 years of age requires much less force than that in an adult, while in children over 10 years old, We reported a 4-year-old boy with traumatic hip dislocation. Closed reduction with the Bigelow manoeuvre was applied without general anesthesia in the Emergency room. Patient was followed up for 4 weeks in a hip spica cast. There were no problems at the 6-month follow-up examination. Traumatic hip dislocation in children is not a common event and is generally caused by minor trauma.
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