J Korean Orthop Assoc.  2004 Jun;39(3):339-342.

Simultaneous Anterior and Posterior Bilateral Traumatic Dislocation with Bilateral Femoral Head Fracture: A Case Report

• Moon KH
• Lee TJ
• Park YH

Abstract

Hip dislocation represents 2 to 5% of all joint dislocation whereas bilateral hip dislocation occurring as a result of trauma is rarely reported, accounting for 0.025 to 0.050% of hip dislocation cases. It is known that the simultaneous occurrence of traumatic dislocation with one anterior and the other posterior is even rarer. The case described showed a bilateral hip dislocation which occurred anteriorly at the right hip and posteriorly at the left with both femoral heads fractured as a result of a traffic accident. The right hip of the patient was dislocated in the anteroinferior direction of the right acetabulum, and the left hip in the posterosuperior direction of the left acetabulum. Both hip fractures were accompanied by fragments above the fovea centralis. The patient was treated by immediate reduction followed by skin traction. Partial weight bearing was performed after 6 weeks of bed rest and full weight bearing began on the 10th week. No complications such as avascular femoral head necrosis or traumatic arthritis occured.

Keyword

Hip dislocation; Bilateral; Anterior and posterior

MeSH Terms

Accidents, Traffic
Acetabulum
Arthritis
Bed Rest
Dislocations*
Fovea Centralis
Head*
Hip
Hip Dislocation
Hip Fractures
Humans
Joints
Necrosis
Skin
Traction
Weight-Bearing