Case Report
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Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture

Year 2021, Volume: 12 Issue: 4, 117 - 120, 14.12.2021
https://doi.org/10.33706/jemcr.966370

Abstract

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.

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References

  • 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.
Year 2021, Volume: 12 Issue: 4, 117 - 120, 14.12.2021
https://doi.org/10.33706/jemcr.966370

Abstract

Project Number

None

References

  • 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.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Hacı Mehmet Çalışkan 0000-0001-7370-420X

Ömer Jaradat 0000-0002-6177-710X

Mehmet Yetiş 0000-0002-8193-4344

Zafer Ünveren 0000-0001-5639-8183

Burak Çelik 0000-0002-6746-4083

Serdar Süha Sönmez 0000-0002-6778-1417

Project Number None
Publication Date December 14, 2021
Submission Date July 8, 2021
Published in Issue Year 2021 Volume: 12 Issue: 4

Cite

APA Çalışkan, H. M., Jaradat, Ö., Yetiş, M., Ünveren, Z., et al. (2021). Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture. Journal of Emergency Medicine Case Reports, 12(4), 117-120. https://doi.org/10.33706/jemcr.966370
AMA Çalışkan HM, Jaradat Ö, Yetiş M, Ünveren Z, Çelik B, Sönmez SS. Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture. Journal of Emergency Medicine Case Reports. December 2021;12(4):117-120. doi:10.33706/jemcr.966370
Chicago Çalışkan, Hacı Mehmet, Ömer Jaradat, Mehmet Yetiş, Zafer Ünveren, Burak Çelik, and Serdar Süha Sönmez. “Asymmetrical Bilateral Traumatic Hip Dislocation With Segmental Femur Fracture”. Journal of Emergency Medicine Case Reports 12, no. 4 (December 2021): 117-20. https://doi.org/10.33706/jemcr.966370.
EndNote Çalışkan HM, Jaradat Ö, Yetiş M, Ünveren Z, Çelik B, Sönmez SS (December 1, 2021) Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture. Journal of Emergency Medicine Case Reports 12 4 117–120.
IEEE H. M. Çalışkan, Ö. Jaradat, M. Yetiş, Z. Ünveren, B. Çelik, and S. S. Sönmez, “Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture”, Journal of Emergency Medicine Case Reports, vol. 12, no. 4, pp. 117–120, 2021, doi: 10.33706/jemcr.966370.
ISNAD Çalışkan, Hacı Mehmet et al. “Asymmetrical Bilateral Traumatic Hip Dislocation With Segmental Femur Fracture”. Journal of Emergency Medicine Case Reports 12/4 (December 2021), 117-120. https://doi.org/10.33706/jemcr.966370.
JAMA Çalışkan HM, Jaradat Ö, Yetiş M, Ünveren Z, Çelik B, Sönmez SS. Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture. Journal of Emergency Medicine Case Reports. 2021;12:117–120.
MLA Çalışkan, Hacı Mehmet et al. “Asymmetrical Bilateral Traumatic Hip Dislocation With Segmental Femur Fracture”. Journal of Emergency Medicine Case Reports, vol. 12, no. 4, 2021, pp. 117-20, doi:10.33706/jemcr.966370.
Vancouver Çalışkan HM, Jaradat Ö, Yetiş M, Ünveren Z, Çelik B, Sönmez SS. Asymmetrical Bilateral Traumatic Hip Dislocation with Segmental Femur Fracture. Journal of Emergency Medicine Case Reports. 2021;12(4):117-20.