Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2018; 6(5): 94-98
Published online May 16, 2018. doi: 10.12998/wjcc.v6.i5.94
Asymmetrical traumatic bilateral hip dislocations with hemodynamic instability and an unstable pelvic ring: Case report and review of literature
Kai Huang, Grey Giddins, Jian-Fang Zhang, Jian-Wei Lu, Jun-Ming Wan, Peng-Li Zhang, Shao-Yu Zhu
Kai Huang, Jian-Fang Zhang, Jian-Wei Lu, Jun-Ming Wan, Peng-Li Zhang, Shao-Yu Zhu, Department of Orthopedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang Province, China
Grey Giddins, Department of Orthopedics, Royal United Hospital Bath, BA1 3NG, United Kingdom
Author contributions: Huang K accountable for the execution of the case report, the integrity and analysis of the data and the writing of the manuscript; Giddins G accountable for the process of analyzing the case and writing the manuscript; Zhang JF accountable for the conception and execution of the case report; Lu JW is the senior author who is the treating surgeon of the patient; Wan JM, Zhang PL and Zhu SY contributed substantially to the process of analyzing the case and writing the manuscript; all authors read and approved the final manuscript.
Supported by Zhejiang Scientific and Technological Plan of Traditional Chinese Medicine, No. 2018ZB033; Zhejiang Medical and Health Science and Technology Project, No. 2018234792.
Informed consent statement: Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal. Report of this case is approved by the ethics committee of Tongde Hospital of Zhejiang Province.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Kai Huang, MD, Attending Doctor, Surgeon, Department of Orthopedics, Tongde Hospital of Zhejiang Province, Gucui Road 234, Hangzhou 310012, Zhejiang Province, China.
Telephone: +86-571-89972114 Fax: +86-571-88853199
Received: February 13, 2018
Peer-review started: February 13, 2018
First decision: March 8, 2018
Revised: April 1, 2018
Accepted: April 16, 2018
Article in press: April 17, 2018
Published online: May 16, 2018
Core Tip

Core tip: Simultaneous anterior and posterior traumatic dislocations of both hips are very rare. We report a unique case of asymmetrical hip dislocations with an unstable pelvic ring and hemodynamic instability. Given the severity of the associated complications, every effort should be made to ensure prompt diagnosis and immediate therapy. Attention must be paid to early rescue procedures, including initial circulation support and elimination of bleeding, as well as joint reduction and rapid stabilization of the pelvic ring.