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

Copyright © 2013 EDIZIONI MINERVA MEDICA

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


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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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