Papa Kwabena Offeh Kyei, Tamsanqa Joseph Mazibuko, Collen Sandile Nkosi
{"title":"Asymmetrical Bilateral Complex Dislocations of the Hips: A Rare Case Report.","authors":"Papa Kwabena Offeh Kyei, Tamsanqa Joseph Mazibuko, Collen Sandile Nkosi","doi":"10.13107/jocr.2025.v15.i09.6088","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Asymmetrical hip dislocations are rare injuries. The native hip joint is inherently stable, so both joints will dislocate in a high-energy setting. Therefore, it is imperative to exclude other associated injuries and fractures and ensure both hips are reduced timeously.</p><p><strong>Case report: </strong>We present a rare case of a 46-year-old male patient who presented with asymmetrical complex hip dislocations following a pedestrian-vehicle accident. Both hips were reduced; however, the left acetabulum posterior wall needed open reduction and internal fixation.</p><p><strong>Conclusion: </strong>Early diagnosis and treatment are crucial in hip dislocations to mitigate the long-term complications. Patients who sustain asymmetrical complex dislocations should be evaluated for other injuries, as these are generally associated with poorer outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"250-254"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422669/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i09.6088","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Asymmetrical hip dislocations are rare injuries. The native hip joint is inherently stable, so both joints will dislocate in a high-energy setting. Therefore, it is imperative to exclude other associated injuries and fractures and ensure both hips are reduced timeously.
Case report: We present a rare case of a 46-year-old male patient who presented with asymmetrical complex hip dislocations following a pedestrian-vehicle accident. Both hips were reduced; however, the left acetabulum posterior wall needed open reduction and internal fixation.
Conclusion: Early diagnosis and treatment are crucial in hip dislocations to mitigate the long-term complications. Patients who sustain asymmetrical complex dislocations should be evaluated for other injuries, as these are generally associated with poorer outcomes.