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Bilateral asymmetric hip dislocation: A rare case report with update literature review

Year: 2025

Type: article

Abstract: Bilateral asymmetric hip dislocations, where one hip is dislocated anteriorly and the other posteriorly, are rare injuries typically resulting from high-energy trauma, such as motor vehicle accidents. We report the case of a 53-year-old male who presented with a right posterior and left anterior hip dislocation without associated fractures following a car accident. Both hips were successfully reduced using closed reduction under general anesthesia, with excellent functional recovery and no complications, such as avascular necrosis, at one-year follow-up. A systematic review of 17 cases from 15 publications (2016–2024) revealed that these injuries predominantly affect young males and are often associated with systemic trauma and fractures. Prompt closed reduction was the primary treatment, though surgical interventions were required in some cases, and complications such as avascular necrosis occurred in 17.6 % of patients. This case highlights the importance of early diagnosis, timely management, and a multidisciplinary approach to optimize outcomes and prevent long-term complications.

Source: Journal of Orthopaedic Reports

DOI: 10.1016/j.jorep.2025.100624

Authors: Arisa Chuklin, Surada Ponwaranon, Kasem Chaiklongkit, Chittawee Jiamton

Institutions: Chulalongkorn University, Queen Savang Vadhana Memorial Hospital

Language: English

Topic: Pelvic and Acetabular Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600