Shermetaro Jacob, Gard Jourdan, Brossy Kelley
Orthopedic Surgery, Beaumont Health, Farmington Hills, USA.
Cureus. 2022 Jul 27;14(7):e27344. doi: 10.7759/cureus.27344. eCollection 2022 Jul.
Asymmetric bilateral hip dislocations are unusually rare injuries in isolation; however, they are even less often associated with unstable pelvic ring injuries. We report a case of asymmetric bilateral hip dislocations with an associated unstable pelvic ring injury and femoral head fracture in a 46-year-old male after being struck by a vehicle as a pedestrian. These injury patterns are typically the result of high-energy trauma, often seen in motor vehicle accidents. A thorough trauma evaluation, including proper radiographic and clinical evaluations, is necessary for the workup of these patients. This case presents an unusual combination of injuries that are associated with severe, potentially life-threatening complications. Ensuring a timely diagnosis and the initiation of early, proper management are essential in preventing poor outcomes in these patients.
孤立性的不对称双侧髋关节脱位极为罕见;然而,其与不稳定骨盆环损伤同时存在的情况则更为少见。我们报告一例46岁男性行人被车辆撞击后出现不对称双侧髋关节脱位,并伴有不稳定骨盆环损伤及股骨头骨折的病例。这些损伤模式通常是高能创伤的结果,常见于机动车事故。对这些患者进行检查时,全面的创伤评估,包括适当的影像学和临床评估是必要的。该病例呈现出一组不同寻常的损伤组合,伴有严重的、可能危及生命的并发症。确保及时诊断并尽早开始恰当的治疗,对于防止这些患者出现不良预后至关重要。