DOUBLE TRAUMATIC ILIAC DISLOCATION OF THE HIP REPORT OF A RECENT CASE, WITH A REVIEW OF THE LITERATURE OF THE SUBJECT

JAMES H. LEWIS
1904 Annals of Surgery  
Tiie rarity of double traumatic dislocation of the hip seems to justify the report of the following case front the Moses Taylor Hospital in Scranton. E. E.; eighteen years old; driver in coal-mine; has always had good health, and has had no previous injury or disability of cither hip. On May n, 1904, two hours before admission to the hospital, as he was riding on the bumper of a loaded coal-car, he was thrown by a sudden jolt upon his hands and knees directly in front of the car, which then
more » ... car, which then struck him in the sacral region. He managed to drag himself from beneath the car by means of the mule traces. He was brought to the hospital by an ambu¬ lance, and on examination the typical signs of double iliac dislo¬ cation of the hip were evident. The great trochanter on each side was three inches above the Nelaton-Roscr line with the head of the bone plainly palpable on the dorsum of the ilium. There were also contusions over the sacrum and an abrasion of the right knee. Further examination was negative. Under ether both sides were easily reduced by Bigelow's method. The knees were bandaged together and no other retentive dressing applied. The patient was confined to bed for four and one-half weeks. At the end of this time he could walk with no pain or disability in the hips. Movements in the hips, measurements, and the rela¬ tions of the bony prominences were normal. There was, however, foot-drop on the right side, due presumably to pressure of the 735
doi:10.1097/00000658-190411000-00014 pmid:17861552 fatcat:fbf7kqd5x5dl5ae56hgbwgi4ja