Case Report
 
Unique presentation with trimodal transfer of a patient with traumatic bilateral anterior (obturator) hip dislocation
Rishya Manikam1, CS Kumar2, Kunalan G2, A.B. Sri Latha1, Nasir Mohamad3
1Trauma And Emergency Department, University Malaya Medical Centre, Kuala Lumpur.
2Orthopedics Department, University Malaya Medical Centre, Kuala Lumpur.
3Accident And Emergency Department, University Science Malaysia Medical Centre, Kota Bahru.

doi:10.5348/ijcri-2012-11-219-CR-12

Address correspondence to:
Dr. Rishya Manikam
Head, Trauma And Emergency Department
University Malaya, Lembah Pantai, 50603
Kuala Lumpur
Malaysia
Phone: +60379494198
Fax: +60379494198
Email: rishyaman@yahoo.com

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How to cite this article:
Manikam R, Kumar CS, Kunalan G, Latha ABS, Mohamad N. Unique presentation with trimodal yransfer of a patient with traumatic bilateral anterior (Obturator) hip dislocation. International Journal of Case Reports and Images 2012;3(11):40–42.


Abstract
Introduction: Bilateral anterior hip dislocation presenting late with complete recovery with no complication is unusually rare.
Case Report: A 39-year-old manual labor presented with bilateral anterior hip dislocation with non-specific neurology following an industrial accident 20 hours post injury. Closed manual reduction required femoral block, spinal and general anaesthesia with three surgeons engaging a maneuver not previously described. Subsequently, skin traction was applied for two weeks and was discharged with non-weight bearing advice for another four weeks. Patient on his regular clinic follow up was subjected to various modalities of physiotherapy in view of his job nature requiring early return to work. Regular follow-up of three years did not reveal any evidence of avascular necrosis of the femoral heads and he obtained full function of both his hip joints.
Conclusion: The mode of trasport which results in the delay in seeking treatment.

Key Words: Traumatic, Anterior, Bilateral, Hip Dislocations


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Author Contributions:
Rishya Manikam – Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
CS Kumar – Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Kunalan G – Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
A B Sri Latha – Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Nasir Mohamad – Conception of design, Acquisation of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Rishya Manikam et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)