Superolateral Anterior Hip Dislocation with Acetabular Fracture: Report of Three Cases and Review of Literature

Volume 7 | Issue 1 | Jan – April 2019 | Page: 39-41 | Sandeep Vijayan, Monish Malhotra, Monappa V Naik, Sharath K Rao

Authors: Sandeep Vijayan [1], Monish Malhotra [2], Monappa V Naik [1], Sharath K Rao [1].

[1] Department of Orthopaedics, Kasturba medical college, Manipal University, Manipal, Karnataka, India,
[2] Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS Rohtak, Haryana, India.

Address of Correspondence
Dr. Monish Malhotra,
Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS Rohtak, Haryana – 124001, India.


Anterior hip dislocation is less common than posterior and is classified as obturator (perineal), pubic, or iliac type. Type of dislocation is influenced by the position of lower limb at the time of injury and forces involved. Superolateral (iliac) type of anterior dislocation is extremely rare and often mistaken for posterior dislocation. Techniques for reducing an anterior dislocation vary with the type. Even though, in general, anterior dislocations have favorable outcome, the presence of associated acetabular injuries and timing of reduction after the injury can influence long-term outcome. Prompt and gentle maneuvers and avoiding repeated attempts at closed reduction further help to improve the prognosis.
Keywords: Hip, Dislocation, Anterior, Superior, Iliac, Acetabulum.


1. Gupta V, Kaur M, Kundu ZS, Kaplia A, Singh D. Traumatic anterior hip dislocation in a 12-year-old child. Chin J Traumatol 2013;16:122-5.
2. Erb RE, Steele JR, Nance EP Jr., Edwards JR. Traumatic anterior dislocation of the hip: Spectrum of plain film and CT findings. AJR Am J Roentgenol 1995;165:1215-9.
3. Tawari AA, Bahuva VD, Goregaonkar AB, R S. A rare case of open anterior hip dislocation. J Surg Case Rep 2013;2013: rjs035.
4. Alonso JE, Volgas DA, Giordano V, Stannard JP. A review of the treatment of hip dislocations associated with acetabular fractures. Clin Orthop Relat Res 2000;377:32-43.
5. Epstein HC. Posterior fracture-dislocations of the hip: Comparison of open and closed methods of treatment in certain types. J Bone Joint Surg Am 1961;43:1079-98.
6. Bassett LW, Gold RH, Epstein HC. Anterior hip dislocation: Atypical superolateral displacement of the femoral head. AJR Am J Roentgenol 1983;141:385-6.
7. de Muelenaere PF. Superior dislocation of the hip. A report of 2 cases. S Afr Med J 1985;68:183-5.
8. Esenkaya I, Elmali N. Locked posterior dislocation of the hip: A case report. Acta Orthop Traumatol Turc 2007;41:155-8.
9. Sultan A, Dar TA, Wani MI, Wani MM, Shafi S. Bilateral simultaneous anterior obturator dislocation of the hip by an unusual mechanism-a case report. Ulus Travma Acil Cerrahi Derg 2012;18:455-7.
10. Chung KJ, Eom SW, Noh KC, Kim HK, Hwang JH, Yoon HS, et al. Bilateral traumatic anterior dislocation of the hip with an unstable lumbar burst fracture. Clin Orthop Surg 2009;1:114-7.
11. Yang EC, Cornwall R. Initial treatment of traumatic hip dislocations in the adult. Clin Orthop Relat Res 2000;377:24-31.
12. Jindal N, Sankhala SS. Superior dislocation hip with anterior column acetabular fracture-open reduction and internal fixation using a twin incision technique. Pan Afr Med J 2012;12:41.
13. Olcay E, Adanır O, Ozden E, Barış A. Bilateral asymmetric traumatic hip dislocation with bilateral acetabular fracture: Case report. Ulus Travma Acil Cerrahi Derg 2012;18:355-7.
14. Dreinhöfer KE, Schwarzkopf SR, Haas NP, Tscherne H. Isolated traumatic dislocation of the hip. Long-term results in 50 patients. J Bone Joint Surg Br 1994;76:6-12.
15. Reggiori A, Brugo G. Traumatic anterior hip dislocation associated with anterior and inferior iliac spines avulsions and a capsular-labral lesion. Strategies Trauma Limb Reconstr 2008;3:39-43.
16. Chadha M, Agarwal A, Singh AP. Traumatic anterior dislocation of the hip joint with posterior acetabular wall fracture. Acta Orthop Belg 2005;71:111-4.
17. Goddard NJ. Classification of traumatic hip dislocation. Clin Orthop Relat Res 2000;377:11-4.

How to Cite this article: Vijayan S, Malhotra M, Naik M V, Rao S K. Superolateral Anterior Hip Dislocation with Acetabular Fracture: Report of Three Cases and Review of Literature. J Kar Orth Assoc. Jan-April 2019; 7(1): 39-41.

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