A 25-year-old man presented to the emergency department with simultane
ous right anterior and left posterior hip dislocations resulting from
a motor vehicle accident. Simultaneous bilateral traumatic hip disloca
tion is an uncommon occurrence. More rare is asymmetric simultaneous b
ilateral hip dislocation, with only ten cases documented in the Englis
h-language literature. The importance of an anteroposterior pelvic rad
iograph after significant major trauma is emphasized. Several serious
complications can be associated with this condition, so expeditious ma
nagement in the ED is warranted.