Öz
Introduction: Hip dislocations are extremely rare, but they are orthopedic emergencies that need to be immediately intervened. Traumatic hip dislocations are usually unilateral and occur toward the posterior region. Bilateral traumatic hip dislocations, on the other hand, are rarer. Asymmetric occurrence of bilateral traumatic hip dislocations is even rarer. The possibility of spontaneous hip dislocation in a healthy person is very unlikely. This is because ligaments wrapping the hip joint make it quite stable. Thus, hip dislocation usually occurs due to a high-energy trauma. Case Report: In this paper we report a unique female patient with asymmetric bilateral traumatic hip dislocation accompanied by a segmental fracture of the femur due to a traffic accident. The patient’s right hip was reduced under sedoanalgesia at the emergency department and the left hip was reduced under anesthesia at operating room. Avascular necrosis did not develop at her 2-year follow-up; however, she has been re-operated after developing nonunion in the left femoral segmental fracture. Conclusion: In conclusion, hip dislocations should be treated in first six hours due to the risk of avascular necrosis. Uncomplicated hip dislocations without accompanied fractures can be treated with sedoanalgesia in emergency service settings. However hip dislocations which are complicated with accompanied fractures should be reduced in operation rooms without delay.
Anahtar Kelimeler
Asymmetric bilateral hip dislocation segmental fracture traffic accident
Destekleyen Kurum
None
Proje Numarası
None
Teşekkür
None
Kaynakça
- 1. Buckwalter J, Westerlind B, Karam M. Asymmetric Bilateral Hip Dislocations: A Case Report and Historical Review of the Literature. Iowa Orthop J 2015; 35: 70-91.
- 2. Altay M, Yagmurlu F, Heybeli M, Muratli HH, Tabak Y, Bicimoglu A. Simultaneous asymmetric bilateral traumatic hip dislocation: a case report. Acta Orthop Traumatol Turc 2003; 37(2): 182-6.
- 3. Ciliz A, UtkanA, Köse CC, Uludağ ME, Tümöz MA. Bilateral traumatic dislocation of the hip: A case report. EklemHastalikCerrahisi2005; 16(1): 67-70.
- 4. Verma R, Sharma A, R G. Bilateral Asymmetric Hip Dislocation with Segmental Fracture Femur: An Unusual Case Report and Literature Review. Int J Orthop Surg 2009; 17(1): 1-7.
- 5. Kundu ZS, Mittal R, Sangwan SS, Sharma A. Simultaneous asymmetric bilateral hip dislocation with unilateral fracture of femur—peculiar mode of trauma in a case. Eur J OrthopSurgTraumatol2003; 13(4): 255–257.
- 6. Huang K, Giddins G, Zhang JF, Lu JW, Wan JM, Zhang PL, Zhu SY. Asymmetrical traumatic bilateral hip dislocations with hemodynamic instability and an unstable pelvic ring: Case report and review of literature. World J ClinCases2018; 6(5): 94-98.
- 7. Degirmenci E, Kaya YE, Ozturan KE. Asymmetric bilateral hip dislocations and unilateral femoral head fracture: A case report. Trauma Case Rep 2018; 17: 48-51.
- 8. Alshammari A, Alanazi B, Almogbil I, Alfayez SM. Asymmetric bilateral traumatic hip dislocation: A case report. Ann Med Surg (Lond) 2018; 32: 18-21.
- 9. Dreinhofer KE, Schwarzkopf SR, Haas NP, Tscherne H. Isolated traumatic dislocation of the hip. Long-term results in 50 patients. J Bone Joint Surg Br 1994; 76(1): 6-12.
- 10. Dwyer AJ, John B, Singh SA, Mam MK. Complications after posterior dislocation of the hip. Int Orthop 2006; 30(4): 224-7.
Öz
Proje Numarası
None
Kaynakça
- 1. Buckwalter J, Westerlind B, Karam M. Asymmetric Bilateral Hip Dislocations: A Case Report and Historical Review of the Literature. Iowa Orthop J 2015; 35: 70-91.
- 2. Altay M, Yagmurlu F, Heybeli M, Muratli HH, Tabak Y, Bicimoglu A. Simultaneous asymmetric bilateral traumatic hip dislocation: a case report. Acta Orthop Traumatol Turc 2003; 37(2): 182-6.
- 3. Ciliz A, UtkanA, Köse CC, Uludağ ME, Tümöz MA. Bilateral traumatic dislocation of the hip: A case report. EklemHastalikCerrahisi2005; 16(1): 67-70.
- 4. Verma R, Sharma A, R G. Bilateral Asymmetric Hip Dislocation with Segmental Fracture Femur: An Unusual Case Report and Literature Review. Int J Orthop Surg 2009; 17(1): 1-7.
- 5. Kundu ZS, Mittal R, Sangwan SS, Sharma A. Simultaneous asymmetric bilateral hip dislocation with unilateral fracture of femur—peculiar mode of trauma in a case. Eur J OrthopSurgTraumatol2003; 13(4): 255–257.
- 6. Huang K, Giddins G, Zhang JF, Lu JW, Wan JM, Zhang PL, Zhu SY. Asymmetrical traumatic bilateral hip dislocations with hemodynamic instability and an unstable pelvic ring: Case report and review of literature. World J ClinCases2018; 6(5): 94-98.
- 7. Degirmenci E, Kaya YE, Ozturan KE. Asymmetric bilateral hip dislocations and unilateral femoral head fracture: A case report. Trauma Case Rep 2018; 17: 48-51.
- 8. Alshammari A, Alanazi B, Almogbil I, Alfayez SM. Asymmetric bilateral traumatic hip dislocation: A case report. Ann Med Surg (Lond) 2018; 32: 18-21.
- 9. Dreinhofer KE, Schwarzkopf SR, Haas NP, Tscherne H. Isolated traumatic dislocation of the hip. Long-term results in 50 patients. J Bone Joint Surg Br 1994; 76(1): 6-12.
- 10. Dwyer AJ, John B, Singh SA, Mam MK. Complications after posterior dislocation of the hip. Int Orthop 2006; 30(4): 224-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Case Report |
| Yazarlar | |
| Proje Numarası | None |
| Yayımlanma Tarihi | 14 Aralık 2021 |
| Gönderilme Tarihi | 8 Temmuz 2021 |
| Yayımlandığı Sayı | Yıl 2021 Cilt: 12 Sayı: 4 |
