Bilateral Traumatic Posterior Hip Dislocation - A Case Report

J Orthop Case Rep. 2024 Dec;14(12):52-56. doi: 10.13107/jocr.2024.v14.i12.5016.

Abstract

Introduction: Although posterior dislocation of the hip is common, bilateral posterior hip dislocation in children is an infrequent presentation. Early diagnosis and treatment are of paramount importance to prevent complications. Here, we report a case of traumatic bilateral posterior hip dislocation following a high-velocity motor vehicle accident.

Case report: A 13-year-old boy was brought to the emergency department following high-energy trauma due to a motor vehicular accident. He was in considerable pain with both hips in flexion, adduction, and internal rotation. There was a restriction to the range of movement at bilateral hip joints. Clinical and radiological examination revealed a bilateral posterior hip dislocation.

Conclusion: Posterior hip dislocation is the most common type of hip dislocation. However, bilateral posterior hip dislocation is quite rare. This clinical presentation in the pediatric population is rarer still with very little published literature. Diagnosis and emergent treatment of the same is essential to prevent complications.

Keywords: Bilateral posterior hip dislocation; avascular necrosis; pediatric posterior hip dislocation.

Publication types

  • Case Reports