Bilateral Dislocation of the Hip During Convulsions

Abstract

Simultaneous bilateral posterior dislocation of the hip is very uncommon and most cases are caused by road accidents. Simultaneous bilateral posterior dislocation of the hip due to convulsions is extremely rare. We report the case of a man who was diagnosed late and operated on 15 weeks after the injury. We discuss the treatment of chronic dislocation of the hip and review the literature.

Simultaneous bilateral shoulder and bilateral central acetabular fracture dislocation: What to do?

“…Central acetabular fracture dislocation is seen following high velocity road traffic accidents and rarely following episode of seizures. 11 , 12 , 13 , 14 , 15 , 16 , 17 Rath et al 16 in 1997 suggested that the mechanism of injury around the hip joint following seizures is due to severe uncontrolled muscle contraction of proximal thigh muscle leading to strong force towards the hip joint. Other factor includes severe osteoporosis due to old age and anti-eplietic medications can lead to acteabular fracture and central dislocation of the hip joint following seizures episodes without direct traumatic event.…”

“…Other factor includes severe osteoporosis due to old age and anti-eplietic medications can lead to acteabular fracture and central dislocation of the hip joint following seizures episodes without direct traumatic event. 1 , 2 , 11 , 12 , 13 , 14 , 15 , 16 , 17…”

“…Due to central acetabular dislocation, patients often present with hypovolumeic shock following profound blood loss. 11 , 12 , 13 , 14 , 15 , 16 , 17 The management of hypovolumeic shock includes proper use of hypertonic solution, plasma expanders and blood products.…”

“…Central acetabular fracture is a complicated and life-threatening injury because of hypo-volume shock from severe blood loss. 11 , 12 , 13 , 14 , 15 , 16 , 17 Musculoskeletal injuries following seizures have a high morbidity and mortality. 4 , 5 , 6 , 7 , 12 , 13 , 14 , 15 , 16 , 17 These injuries are often missed and the diagnosis is delayed due to a lack of clinical suspicion and appropriate investigations.…”

“… 11 , 12 , 13 , 14 , 15 , 16 , 17 Musculoskeletal injuries following seizures have a high morbidity and mortality. 4 , 5 , 6 , 7 , 12 , 13 , 14 , 15 , 16 , 17 These injuries are often missed and the diagnosis is delayed due to a lack of clinical suspicion and appropriate investigations. 1 , 2 , 3 , 4 , 5 , 6 , 15 , 16 , 17…”