Simultaneous asymmetric bilateral hip dislocation with unilateral fracture of femur?peculiar mode of trauma in a case

Asymmetrical Bilateral Hip Dislocation With Segmental Fracture Femur: An Unusual Case Report and Literature Review

“…One patient had fall from height and another patient sustained injury during plane crash. (2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18) In our case unique mode of trauma was fall from bus under influence of alcohol which has not been reported previously.…”

“…(3,15) Asymmetric bilateral dislocation is very uncommon with only few case report. (2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18) Concomitant femoral shaft fracture in such asymmetric dislocation are very rare with only 2 cases previously reported (8,16).Segmental femoral fracture as seen in this case, is first to be described to the best of our knowledge. All previously reported cases have motor vehicle accident as most common mode of trauma as seen in 13 out of 15 case reports.…”

“…(3) Fracture of femoral shaft may also occur in association with hip dislocation. (8,16) Screening pelvic radiographs in all polytrauma patients and in patients with clinical findings of hip dislocation should be performed in the initial evaluation. Posterior hip dislocation may initially go unrecognised in the setting of acetabular fractures, particularly with transverse and T type fractures.…”

“…(2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18) We report a unique case, simultaneous bilateral asymmetric dislocation with segmental fracture of femur caused by fall from bus. Only two cases of bilateral asymmetric hip dislocation with associated femur fracture have been reported, (8,16) however there is no case of asymmetric bilateral hip dislocation associated with segmental fracture of femur in the English literature. Considering mode of trauma, nowhere among previous reports, fall from bus as a cause of injury has been described.…”

Bilateral Asymmetric Hip Dislocation With Segmental Fracture Femur : An Unusual Case Report And Literature Review

“…Bilateral traumatic dislocation is a rare injury but 55 such cases have been reported in literature. Asymmetric bilateral hip dislocation is even rarer injury , with only 16 cases reported in English literature (2,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18).…”