Bilateral central dislocation of the hip following a cerebrovascular accident

Phen, H.S.; Kumar, N; Ireland, John

doi:10.1302/0301-620x.71b4.2768328

Cited by 6 publications

(2 citation statements)

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“…Phen et al [ 9 ] reported a case of simultaneous bilateral central hip dislocation in a 69-year-old patient. The authors postulated the cause being due to convulsions relating to a stroke.…”

Section: Discussionmentioning

confidence: 99%

Low trauma posterior native hip dislocation with acute longitudinal transverse myelitis due to SARS-CoV-2 - A case-report

Pandya

Sangoi

Badhe

2021

Trauma Case Reports

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Background Native hip dislocations are most commonly seen after high energy trauma. While there are documented cases of hip dislocation with associated stroke, we present a case of posterior hip dislocation in the context of acute longitudinal transverse myelitis due to a rare presentation of SARS-CoV-2. Case report A 60-year-old male presented with bilateral lower limb weakness with a shortened internally rotated left leg. Plain radiographs revealed a posteriorly dislocated native left hip and MRI of the spine showed acute longitudinal transverse myelitis of the cervical and thoracic regions. His nasopharyngeal swab was positive for SARS-CoV-2. His hip was reduced, and he was treated with intravenous steroids. His neurological symptoms improved with follow-up MRI showing resolution of the transverse myelitis. Conclusion This case illustrates a classic orthopaedic emergency in the context of a rare presentation of SARS-CoV-2, and the vigilance that orthopaedic doctors must have when examining patients with lower limb neurological deficit.

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Section: Discussionmentioning

confidence: 99%

Low trauma posterior native hip dislocation with acute longitudinal transverse myelitis due to SARS-CoV-2 - A case-report

Pandya

Sangoi

Badhe

2021

Trauma Case Reports

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“…Phen et al 7 reported a case of simultaneous bilateral central hip dislocation in a 69-year-old patient. The authors postulated the cause being due to convulsions relating to a stroke and there have been a number of similar cases reported substantiating this 8.…”

Section: Discussionmentioning

confidence: 99%

Anterior hip dislocation in conjunction with a stroke: a diagnosis not to miss

2013

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Anterior dislocation of the native hip joint is an uncommon presentation accounting for around 15% of all hip dislocations. It is usually the result of a high-energy impact in circumstances such as a motor vehicle accident or a fall from a significant height. A delay in relocation of more than 6 h has been associated with a high risk of avascular necrosis of the femoral head. We report the case of a 75-year-old man who suffered an anterior dislocation of his native hip following a fall from a standing height, associated with an acute cerebrovascular stroke. There was significant delay in the recognition of the dislocation due to the coexistent signs of the stroke. This case illustrates that hip dislocation can occur following a low-energy mechanism of injury with the possibility of serious long-term consequences if it is not promptly recognised and treated.

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Simultaneous bilateral hip fractures presenting as an acute abdomen

Kenny

Parkinson²

1993

Injury

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Bilateral central dislocation of the hip following a cerebrovascular accident

Cited by 6 publications

References 0 publications

Low trauma posterior native hip dislocation with acute longitudinal transverse myelitis due to SARS-CoV-2 - A case-report

Low trauma posterior native hip dislocation with acute longitudinal transverse myelitis due to SARS-CoV-2 - A case-report

Anterior hip dislocation in conjunction with a stroke: a diagnosis not to miss

Simultaneous bilateral hip fractures presenting as an acute abdomen

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