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Re: Is asymmetrical dislcotion really rare: Indian jeep drivers :unusual mode

Dear Editor

We read the article by Lam et al. with interest.[1]

The authors have described the mode of trauma with different vehicles hitting the patient in opposite directions leading to asymmetric dislocations. This means the dislocotions occurred at different times. We have seen such cases with Indian drivers who don't wear seat belts or any other protective apparatus. Due to overcrowding, they sit with one knee hanging out of the window and one foot on the accelerator. This limb is externally rotated and other on the clutch which is internally rotated. In head-on collisions they sustain both asymmetrical dislocation simultaneously. Usually the right side (foot on accelerator; limb externally rotated) it is anterior dislocation and left side (foot on clutch; limb internally rotated) it is the posterior dislocation.

Reference

(1) Lam F, Walczak J, A Franklin. Traumatic asymmetrical bilateral hip dislocation in an adult. Emerg Med J 2001;18:506-507.

Send letter to journal:
Re: Rare injury: unusual mode of trauma

Dear Editor

We read this article with interest. The authors have described the mode of trauma with different vehicles hitting the patient in opposite directions leading to asymmetric dislocations. This means the dislcotions occurred at different times. We have seen this in indian drivers who don't wear seat belts or any other protective wear. Due to overcrowding, they are sitting with one knee hanging out of the window and the foot on the accelerator this limb is externally rotated and other on the clutch which is internally rotated. In head on collisions they sustain both asymmetrical dislocation simultaneously. Usually the right side (foot on the accelerator; limb externally rotated) it is anterior dislocation and left side (foot on the clutch; limb internally rotated) it is the posterior dislocation.