Asymmetric Bilateral Hip Dislocations with a Pulseless Left Lower Extremity: A Case Report.

CASE: Traumatic bilateral asymmetric hip dislocation represents an exceedingly rare injury pattern in which one hip dislocates anteriorly and the contralateral hip dislocates posteriorly. Few reports of this injury pattern have been published in the English literature, and no report of this pattern with arterial occlusion has been described. We report a case of asymmetric hip dislocations presenting with a pulseless lower extremity after a motor vehicle accident. No arterial injury was identified on computed tomography angiogram. Fractures of the proximal femur and acetabulum were also absent, bilaterally.

CONCLUSIONS

We present a patient who patient underwent successful closed reduction with return of pulses in the left leg and required no further intervention for his hip dislocations.