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Bilateral asymmetrical hip dislocation with one side obturator intra-pelvic dislocation. Case report

机译:双侧不对称髋关节脱位伴一侧闭孔性骨盆内脱位。案例报告

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Introduction: Hip dislocations usually occur as a result of motor vehicle accidents and require high energy trauma. Bilateral hip dislocations are rare compared to unilateral ones. Most reported cases are asymmetrical simultaneous bilateral anterior and posterior dislocations. Case presentation: This case report describes a 32years female passenger who was involved in road traffic accident and had bilateral asymmetrical hip dislocations with one side posterior and the other side obturator intra-pelvic dislocation. Concentric reduction was achieved by closed reduction of both sides under general anesthesia but the patient required skeletal traction applied to the unstable side for three weeks. Discussion: Hip dislocation is considered an orthopedic emergency and should be reduced as soon as possible to decrease rate of complications. Since hip dislocation usually occurs with high energy trauma so looking for associated injuries is of paramount importance and assessing such patients should be done according to advanced trauma life support. Conclusion: Obturator intra-pelvic hip dislocation is challenging case and can be treated by closed reduction.
机译:简介:髋关节脱位通常是由于汽车事故引起的,需要高能量的创伤。与单侧髋关节脱位相比,双侧髋关节脱位很少。大多数报道的病例是不对称的同时双侧前,后脱位。病例介绍:该病例报告描述了一名32岁的女乘客,她参与了道路交通事故,双侧不对称髋关节脱位,一侧为后侧,另一侧为闭孔性骨盆内脱位。在全身麻醉下,通过两侧的闭合复位来实现同心复位,但是患者需要在不稳定的一侧施加骨骼牵引三周。讨论:髋关节脱位被认为是骨科急症,应尽快减少以减少并发症发生率。由于髋关节脱位通常发生在高能量创伤下,因此寻找相关伤害至关重要,应该根据先进的创伤生命支持对此类患者进行评估。结论:闭孔性骨盆内髋关节脱位是具有挑战性的病例,可以通过闭合复位术治疗。

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