Abstract

Anterior hip dislocation is uncommon, comprising only 5%-15% of hip dislocations. It usually occurs following a severe external rotation and abduction injury. These injuries are occasionally associated with acetabular fractures, which generally occur in the direction of dislocation. We describe a rare case of pubic-type anterior hip dislocation with concomitant anterior and posterior acetabular wall fractures in a young male following a road traffic accident. The dislocation could not be reduced by closed means and open reduction had to be performed. Reduction of the hip allowed the wall fragments to fall back to their place and the hip remained stable. At the one-year follow-up, the clinical and radiological results were excellent. This case also emphasizes the importance of early diagnosis and prompt reduction in the successful management of these types of injury.

Highlights

  • Traumatic hip dislocation is an extremely severe injury caused due to high-energy trauma such as a road traffic accident

  • A 21-year-old male presented to our emergency department (ED) following a high-velocity road traffic accident (RTA), sustaining an injury to his left hip

  • Superior dislocation can be classified into pubic and iliac, which can be further subdivided into three types based on the associated fractures, Type A, Type B, and Type C [10,11]

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Summary

Introduction

Traumatic hip dislocation is an extremely severe injury caused due to high-energy trauma such as a road traffic accident. A 21-year-old male presented to our emergency department (ED) following a high-velocity road traffic accident (RTA), sustaining an injury to his left hip While riding his motorcycle, he lost control of his bike and fell on his left hip. Pre-reduction coronal and 3D computed tomography (CT) scan of the left hip with the pelvis showing anterior dislocation of the left hip with the fracture of the anterior wall and the posterior wall of the acetabulum. Three-dimensional (3D) cut section of the left hip with pelvis showing the complete reduction of the posterior wall fragment following open reduction. Axial, and three-dimensional (3D) section of the computed tomography (CT) scan at one year, showing the complete bony union of the anterior and posterior walls of the acetabulum

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Sherlock DA
11. Goddard NJ

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