Skip to main content

Advertisement

SpringerLink
Log in

Bilateral asymmetric hip dislocation: case report and literature review

  • Case Report
  • Published:
Emergency Radiology Aims and scope Submit manuscript

Abstract

Simultaneous anterior and posterior hip dislocation is an unusual injury. A unique case is presented, consisting of bilateral asymmetric hip dislocation with associated femoral head, femoral shaft, and acetabular fractures resulting from a motorcycle collision. The mechanisms of injury, management, role of imaging, and complications of this injury complex are discussed, with a review of the relevant literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3a, b.

Similar content being viewed by others

References

  1. Ashraf T, Iraqi AA (2001) Bilateral anterior and posterior traumatic hip dislocation. J Orthop Trauma 15:367–368

    Article  CAS  PubMed  Google Scholar 

  2. Dudkiewicz I, Salai M, Horowitz S, Chechik A (2000) Bilateral asymmetric traumatic dislocation of the hip joints. J Trauma 49:336–338

    CAS  PubMed  Google Scholar 

  3. Lam F, Walczak J, Franklin A (2001) Traumatic asymmetrical bilateral hip dislocation in an adult. Emerg Med J 18:506–507

    Article  CAS  PubMed  Google Scholar 

  4. Agarwal S, Singh GK, Jain UK, Jyoti G (2000) Simultaneous anterior and posterior traumatic dislocation of the hip. A case report with review of the literature. Arch Orthop Trauma Surg 120:236–238

    Google Scholar 

  5. Martinez AA, Gracia F, Rodrigo J (2000) Asymmetrical bilateral traumatic hip dislocation with ipsilateral acetabular fracture. J Orthop Sci 5:307–309

    Article  CAS  PubMed  Google Scholar 

  6. Loupasis G, Morris EW (1998) Asymmetric bilateral traumatic hip dislocation. Arch Orthop Trauma Surg 118:179–180

    Google Scholar 

  7. Maqsood M, Walker AP (1996) Asymmetrical bilateral traumatic hip dislocation with ipsilateral fracture of the femoral shaft. Injury 27:521–522

    Article  CAS  PubMed  Google Scholar 

  8. Shukla PC, Cooke SE, Pollack CV Jr, Kolb JC (1993) Simultaneous asymmetric bilateral traumatic hip dislocation. Ann Emerg Med 22:1768–1771

    PubMed  Google Scholar 

  9. Bansal VP, Mehta S (1991) Bilateral hip dislocation: one anteriorly, one posteriorly. J Orthop Trauma 5:86–88

    CAS  PubMed  Google Scholar 

  10. Gittins ME, Serif LW (1991) Bilateral traumatic anterior/posterior dislocations of the hip joints: case report. J Trauma 31:1689–1692

    PubMed  Google Scholar 

  11. Hill RJ, Chmell S (1990) Contralateral anterior/posterior traumatic hip dislocations. Orthopedics 13:87–88

    CAS  PubMed  Google Scholar 

  12. Sinha SN (1985) Simultaneous anterior and posterior dislocation of the hip joints. J Trauma 25:269–270

    CAS  PubMed  Google Scholar 

  13. Civil ID, Tapsell PW (1981) Simultaneous anterior and posterior bilateral traumatic dislocation of the hips: a case report. Aust N Z J Surg 51:542–544

    CAS  PubMed  Google Scholar 

  14. Kaleli T, Alyuz N (1998) Bilateral traumatic dislocation of the hip: simultaneously one hip anterior and the other posterior. Arch Orthop Trauma Surg 117:479–480

    Article  CAS  PubMed  Google Scholar 

  15. Phillips AM, Konchwalla A (2000) The pathologic features and mechanism of traumatic dislocation of the hip. Clin Orthop Rel Res 377:7–10

    PubMed  Google Scholar 

  16. Gillespie WJ (1975) The incidence and pattern of knee injury associated with dislocation of the hip. J Bone Joint Surg Br 57:376–378

    CAS  PubMed  Google Scholar 

  17. Alonso JE, Volgas DA, Giordano V, Stannard JP (2000) A review of the treatment of hip dislocations associated with acetabular fractures. Clin Orthop Rel Res 377:32–43

    Google Scholar 

  18. Ehtisham SM (1976) Traumatic dislocation of hip joint with fracture of shaft of femur on the same side. J Trauma 16:196–205

    CAS  PubMed  Google Scholar 

  19. Schoenecker PL, Manske PR, Sertl GO (1978) Traumatic hip dislocation with ipsilateral femoral shaft fractures. Clin Orthop Rel Res 130:233–238

    Google Scholar 

  20. Brooks RA, Ribbans WJ (2000) Diagnosis and imaging studies of traumatic hip dislocation in the adult. Clin Orthop Rel Res 377:15–23

    PubMed  Google Scholar 

  21. Borrelli J Jr, Goldfarb C, Catalano L, Evanoff BA (2002) Assessment of articular fragment displacement in acetabular fractures: a comparison of computerized tomography and plain radiographs. J Orthop Trauma 16:449–456

    Article  PubMed  Google Scholar 

  22. Yang EC, Cornwall R (2000) Initial treatment of traumatic hip dislocations in the adult. Clin Orthop Rel Res 377:24–31

    PubMed  Google Scholar 

  23. Kickuth R, Laufer U, Hartung G, Gruening C, et al (2002) 3D CT versus axial helical CT versus conventional tomography in the classification of acetabular fractures: a ROC analysis. Clin Radiol 57:140–145

    Article  PubMed  Google Scholar 

  24. Adam P, Labbe JL, Alberge Y, Austry P, Delcroix P, Ficat RP (1985) The role of computed tomography in the assessment and treatment of acetabular fractures. Clin Radiol 36:13–18

    CAS  PubMed  Google Scholar 

  25. Rodriguez-Merchan EC (2000) Osteonecrosis of the femoral head after traumatic hip dislocation in the adult. Clin Orthop Rel Res 377:68–77

    PubMed  Google Scholar 

  26. Hougaard K, Thomsen PB (1986) Traumatic posterior dislocation of the hip—prognostic factors influencing the incidence of avascular necrosis of the femoral head. Arch Orthop Trauma Surg 106:32–35

    CAS  PubMed  Google Scholar 

  27. Brav CEA (1962) Traumatic dislocation of the hip. J Bone Joint Surg Am 44:1115–1134

    Google Scholar 

  28. Letournel E, Judet R (1993) Fractures of the acetabulum. Springer, Berlin Heidelberg New York, pp 545–550

  29. Upadhyay SS, Moulton A (1981) The long term results of traumatic posterior dislocation of the hip. J Bone Joint Surg Br 63B:548–551

    CAS  PubMed  Google Scholar 

  30. Upadhyay SS, Moulton A, Srikrishnamurthy K (1983) An analysis of the late effects of traumatic posterior dislocation of the hip without fractures. J Bone Joint Surg 65B:150–157

    Google Scholar 

  31. Rodriguez-Merchan EC (2000) Coxarthrosis after traumatic hip dislocation in the adult. Clin Orthop Rel Res 377:92–98

    PubMed  Google Scholar 

  32. Erb RE, Steel JR, Nance EP Jr, Edwards JR (1995) Traumatic anterior dislocation of the hip: spectrum of plain film and CT findings. AJR Am J Roentgenol 165:1215–1219

    CAS  PubMed  Google Scholar 

  33. Cornwall R, Radomisli TE (2000) Nerve injury in traumatic dislocation of the hip. Clin Orthop Rel Res 377:84–91

    Google Scholar 

  34. Burd TA, Lowry KJ, Anglen JO (2001) Indomethacin compared with localized irradiation for the prevention of heterotopic ossification following surgical treatment of acetabular fractures. J Bone Joint Surg 83-A:1783–1788

    Google Scholar 

  35. Spry NA, Dally MJ, Benjamin B, Chapman P, et al (1995) Heterotopic bone formation affecting the hip joint is preventable in high risk patients by post-operative radiation. Australas Radiol 39:379–383

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University of Arizona College of Medicine, Tucson, Arizona, USA

    Stephanie A. Schwartz & Mihra S. Taljanovic

  2. Department of Orthopaedic Surgery, University of Arizona College of Medicine, Tucson, Arizona, USA

    John T. Ruth & Michael D. Miller

  3. P.O. Box 245067, Tucson, AZ 85724–5067, USA

    Mihra S. Taljanovic

Authors
  1. Stephanie A. Schwartz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mihra S. Taljanovic
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. John T. Ruth
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Michael D. Miller
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mihra S. Taljanovic.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schwartz, S.A., Taljanovic, M.S., Ruth, J.T. et al. Bilateral asymmetric hip dislocation: case report and literature review. Emergency Radiology 10, 105–108 (2003). https://doi.org/10.1007/s10140-003-0295-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10140-003-0295-2

Keywords

Search

Navigation