双侧创伤性髋关节前脱位——病例报告
Bilateral Traumatic Anterior Hip Dislocation - A Case Report.
作者信息
Paul Nirvin, Ahuja Yogesh, Pragadeeshwaran J, Gopurathingal Anto
机构信息
Department of Trauma Surgery, AIIMS, Rishikesh, Uttarakhand, India.
Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India.
出版信息
J Orthop Case Rep. 2022 Jul;12(7):66-69. doi: 10.13107/jocr.2022.v12.i07.2920.
INTRODUCTION
Traumatic anterior hip dislocation is less common than posterior dislocation and bilateral anterior hip dislocation is a very rare presentation. Early diagnosis and treatment are of paramount importance to prevent complications. Here, we report a case of traumatic bilateral anterior hip dislocation following a high-velocity motor vehicle accident.
CASE REPORT
A 26-year-old man 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, abduction, and external rotation. There was a restriction to the range of movement at bilateral hip joints. Clinical and radiological examination revealed bilateral anterior hip dislocation.
CONCLUSION
Isolated anterior, obturator type of dislocation involving both hip joints with no other associated bony injury is quite unusual. The diagnosis and treatment have to be prompt. The chances of complications are high.
引言
创伤性髋关节前脱位比后脱位少见，双侧髋关节前脱位则极为罕见。早期诊断和治疗对于预防并发症至关重要。在此，我们报告一例高速机动车事故后创伤性双侧髋关节前脱位的病例。
病例报告
一名26岁男性因机动车事故遭受高能创伤后被送至急诊科。他双髋处于屈曲、外展和外旋位，疼痛剧烈。双侧髋关节活动范围受限。临床及影像学检查显示双侧髋关节前脱位。
结论
孤立的双侧髋关节闭孔型前脱位且无其他相关骨质损伤颇为罕见。诊断和治疗必须迅速。发生并发症的几率很高。
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