LATE-DIAGNOSED ASYMMETRIC BILATERAL TRAUMATIC HIP DISLOCATION: A CASE REPORT
DOI:
https://doi.org/10.18623/rvd.v23.n3.4613Palavras-chave:
Hip Dislocation, Asymmetric, Bilateral, Trauma, Sciatic Nerve Injury, Delayed DiagnosisResumo
Background: Bilateral traumatic hip dislocation is a rare and severe orthopedic injury that is typically associated with high-energy trauma. Asymmetric bilateral dislocations are particularly uncommon and may pose diagnostic challenges, especially when presentation or evaluation is delayed. Case Presentation: We report the case of a patient who sustained asymmetric bilateral traumatic hip dislocation following a high-energy road traffic accident. The patient presented with severe bilateral hip pain and inability to bear weight. Due to delayed diagnosis, orthopedic evaluation occurred more than nine hours after presentation. Imaging revealed anterior dislocation of the right hip and posterior dislocation of the left hip. Closed reduction of both hips was successfully performed under conscious sedation. On examination, the patient demonstrated left-sided foot drop consistent with sciatic nerve involvement. Post-reduction imaging confirmed concentric reduction of both hips. Conclusion: This case highlights the diagnostic challenges associated with asymmetric bilateral traumatic hip dislocation and underscores the importance of early recognition, comprehensive trauma assessment, and timely reduction to minimize complications such as avascular necrosis and neurological injury. Reporting such rare presentations contributes to increased clinical awareness and reinforces key principles in the management of traumatic hip dislocations.
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