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A Journal on Surgery

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Chirurgia 2013 October;26(5):355-9

language: English

Bilateral asymmetric hip dislocation. A case report and literature review

Acosta-Olivo C., Villarreal G., Vilchez-Cavazos F., Ramos-Morales T., Mendoza-Lemus O.

Department of Orthopedics and Traumatology Hospital Universitario “Dr. Jose E. Gonzalez”, Universidad Autónoma de Nuevo León, Monterrey, NL, Mexico


There are few reports in the literature on bilateral asymmetric hip dislocations. A total of 27 cases have been described since 2000, the majority of which (19 cases) were related to some type of car accident. Normally, these injuries are associated with high-energy mechanisms; in car accidents, these injuries are often an indirect hip trauma due to the direct impact on the knees by the vehicle dashboard. Our report is about a 30-year-old male patient who was involved in a rollover crash and was admitted to our Shock Trauma Unit 8 hours after his accident. We performed closed reduction maneuvers (Allis); the post-reduction management included limited-range hip movement for 3 weeks and body weight bearing, as tolerated, from the 4th week onwards. Currently, the patient is in his third year of progress with a satisfactory outcome. We consider it appropriate to undertake a review of the literature on hip dislocation, including its etiology, diagnosis, treatment, and possible complications.

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