Inferior Hip Dislocation in a 60-Year-Old Man; a Case Report

Inferior hip dislocation or luxatio erecta femoris is among the rarest hip dislocations, which has been describedin limited studies. The patients usually present with their hip in flexion, abduction, and external rotation. Hipdislocation is an orthopedic emergency, and a reduction needs to be performed promptly to avoid devastatingcomplications such as avascular necrosis. Here, we present a rare case of inferior hip dislocation in a 60-year-old man following a car-motorcycle collision. The patient presented to the emergency department with left hipflexion, abduction, external rotation, and inability to move his leg due to pain. Closed reduction under procedu-ral sedation was attempted in the emergency department once, which was unsuccessful. The patient was thentaken to the operating room for another attempt of closed reduction under general anesthesia. The patient wasdischarged after two days with pin traction and double crutches. After two weeks, the pin was removed, andfull weight-bearing was permitted. After 12 weeks, the patient had mild pain with unusual activity and slightlimping; however, imaging revealed no signs of any complications.