Giaretta Stefano, Silvestri Andrea, Momoli Alberto, Micheloni Gian Mario
Orthopedic and Traumatology Unit, Ospedale San Bortolo, Vicenza.
Acta Biomed. 2019 Jan 10;90(1-S):183-186. doi: 10.23750/abm.v90i1-S.8067.
Bilateral hip dislocation is a rare event, asymmetric dislocation is even rarer. Due to the intrinsic stability of the hip joint this lesions usually follow a high energy trauma. Because of the common associated lesions, the initial clinical assessment should be performed thoroughly. CT scan rather than x-rays offers a complete survey of these possible associated injuries such as thoracic or abdominal bleedings, neurologic lesions or fractures directly associated with the hips dislocations. The first goal should be reduction of the dislocation to prevent avascular necrosis (AVN) of the femoral head and arthritis. We report a case of a young man with right anterior hip dislocation and left posterior hip dislocation with associated fracture of the posterior wall.
双侧髋关节脱位是一种罕见的情况，不对称脱位则更为罕见。由于髋关节的固有稳定性，这种损伤通常继发于高能量创伤。鉴于常见的合并损伤，应进行全面的初始临床评估。计算机断层扫描（CT）而非X光检查能全面排查这些可能的合并损伤，如胸腹部出血、神经损伤或与髋关节脱位直接相关的骨折。首要目标应是复位脱位，以预防股骨头缺血性坏死（AVN）和关节炎。我们报告一例年轻男性病例，其右髋关节前脱位，左髋关节后脱位，并伴有后壁骨折。
