“FROG-LEGGED TRAUMA PATIENT”. BILATERAL ANTERIOR HIP DISLOCATION.

Year 2021, Volume: 12 Issue: 1, 19 - 21, 18.03.2021

Faızal Amrı Hamzah , Mastura Onn

https://doi.org/10.33706/jemcr.824850

Abstract

Anterior hip dislocation is rare (10-15% occurrence) compared with posterior dislocation. Bilateral simultaneous anterior hip dislocation is even extremely rare. Most of the previously reported case were either a unilateral or combination of anterior and posterior dislocation. We present a case of bilateral anterior hip dislocation post motor vehicle accident. Patient brought in the Emergency Department in “frog-legged” posture, unable to straighten the lower limbs. Even the Pre-Hospital Care (PHC) team had a tough time to load the patient onto the ambulance stretcher. On examination, both lower limbs were held in abduction, external rotation and in flexion position. Neurovascular assessments were intact. Pelvic x-ray shows bilateral anterior hip dislocation, right iliac bone fracture and left greater trochanteric femur fracture. Closed manual reduction of both hip were performed under procedural sedation analgesia. CECT pelvic done later confirmed right iliac bone fracture extending to and comminuted fracture of the left greater trochanteric. Bilateral avascular necrosis of both femoral head was also noted. Traumatic hip dislocations are a true orthopedic emergency. Early reduction (within 6 hours) is required as soon as appropriate x-rays have been obtained to exclude associated injuries since avascular necrosis of the femoral head increases in direct proportion to delay in reduction. If this fails, closed reduction under general anesthesia is indicated.

Keywords

bilateral, anterior, hip dislocation

References

• 1.Akinyoola AL & Abiodun AA. Bilateral Traumatic Anterior Hip Dislocation - a Case Report. The West African Journal of Medicine 2005; 24:3.
• 2.Honner S & Taylor, SM. Bilateral Anterior Traumatic Hip Dislocation. Journal Emergency Medicine 2012; 42(3): 306-308.
• 3.Radulescu R, Badila, Japie I, Papuc A & Manulescu R. Anterior Dislocation of the Hip Associated with Interthrochanteric Fracture of the Femur. Journal of Medicine and Life 2013;6(3): 336-339.
• 4.Sraj SA. & Lakkis S. Simultaneous Anterior and Posterior Traumatic Hip Dislocation: A Case Report and Review of Literature. Injury Extra 2007; 38(10): 327-333.
• 5.Sultan A, Dar TA, Wani, MI, Wani MM & Shafi S. Bilateral Simultaneous Anterior Obturator Dislocation of the Hip by an Unusual Mechanism - a Case Report. Trauma Acute Care Emergency 2012; 18(5): 455-457.