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Case Reports
. 2021 Aug:34:100501.
doi: 10.1016/j.tcr.2021.100501. Epub 2021 Jun 16.

Low trauma posterior native hip dislocation with acute longitudinal transverse myelitis due to SARS-CoV-2 - A case-report

Chiraag Pandya  1 , Dhrumin Sangoi  1 , Sachin Badhe  1
Affiliations
Case Reports

Low trauma posterior native hip dislocation with acute longitudinal transverse myelitis due to SARS-CoV-2 - A case-report

Chiraag Pandya et al. Trauma Case Rep. 2021 Aug.

Erratum in

Abstract

Background: Native hip dislocations are most commonly seen after high energy trauma. While there are documented cases of hip dislocation with associated stroke, we present a case of posterior hip dislocation in the context of acute longitudinal transverse myelitis due to a rare presentation of SARS-CoV-2.

Case report: A 60-year-old male presented with bilateral lower limb weakness with a shortened internally rotated left leg. Plain radiographs revealed a posteriorly dislocated native left hip and MRI of the spine showed acute longitudinal transverse myelitis of the cervical and thoracic regions. His nasopharyngeal swab was positive for SARS-CoV-2. His hip was reduced, and he was treated with intravenous steroids. His neurological symptoms improved with follow-up MRI showing resolution of the transverse myelitis.

Conclusion: This case illustrates a classic orthopaedic emergency in the context of a rare presentation of SARS-CoV-2, and the vigilance that orthopaedic doctors must have when examining patients with lower limb neurological deficit.

Keywords: Hip dislocation; Orthopaedics; SARS-CoV-2; Transverse myelitis.

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Figures

Fig. 1
Fig. 1
Antero-Posterior plain radiographs showing posterior dislocation of the Left hip with no obvious bony injury.
Fig. 2
Fig. 2
Lateral radiograph showing posterior dislocation of the Left hip with no obvious bony injury.
Fig. 3
Fig. 3
Magnetic Resonance Imaging T2 weighted images from admission showing extensive spinal cord signal abnormality predominantly involving the cervical and lower thoracic regions.
Fig. 4
Fig. 4
Intraoperative image intensifier radiograph showing successful reduction of the left hip.
Fig. 5
Fig. 5
Magnetic Resonance Imaging T2 weighted images from 6 weeks after admission showing resolution of changes previously seen on MRI from admission.
See this image and copyright information in PMC

References

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