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Dammit! Dam Things! Troll Dolls
Dam Gift
When Thomas Dam, a poor Danish woodworker, carved the first Troll doll from wood in 1959, he had no idea what he had unleased onto this world. The reason Dam carved that first Troll doll was that he could not afford to buy his young daughter, Lila, a birthday present. So Thomas decided to carved for her a doll inspired by the legendary trolls which were believed to live in the Nordic forests. Legend has it that the mischievous mythical woodland creatures would bring good luck to any human who could catch one of them. Dam's delighted daughter took to the doll and dressed it up. Soon Lila's doll was all the talk amongst local village of Gjol's children. The doll and the chatter of the other children started to attract a Danish toy store owner and soon Dam was selling "Dam Dolls" locally.
These original "Dam Dolls", were of the highest quality, featuring sheep wool hair and glass eyes. The trolls were an instant success. As the doll's popularity continued to increase, Thomas began making them from rubber filled with woodshavings. An enormous family business was born, legend must have came true for Dam... he essentially caught the the woodland creature and was granted good luck...the dolls became popular in several European countries during the early 1960s, shortly before they were introduced in the United States.
Troll Doll Impressions -Jimmy Fallon (live)
Dam Charming
Initially in America the troll dolls were favored by high school and college girls but soon grown men were carrying them around on their travels. Even the United States First Lady "Lady Bird" Johnson bragged that she owned one and apparently plenty of other people did as well, in the late 1960s,
The dolls sudden popularity, along with an error in the copyright of Thomas Dam's original product, resulted in cheaper imitations and knock-offs which flooded the American shelves. The various versions of these dolls would sell over one million dollars worth just in 1964 America alone. From 1963-1965 trolls were the second biggest selling dolls, right behind Barbies.
Because of the copyright snafu, many companies copied and produced cheap imitations of Thomas Dam's "Dam Dolls." Those imitators never met the fine craftsmanship of the Dam Dolls. There is a way to tell the difference between fakes and the real troll dolls. The "Dam" imprint on the back of the troll, or on the bottom of its feet. The cheaply made imitations are also known as Wishnik Trolls, Treasure Trolls, Gonks, and Norfins, just to name a few brand names.
All the dolls, whether original or knock-off, share the signature tall hair, funny-looking face with the same aspartame smile and potbelly. Part of the dolls charm is that they are so ugly that you can't help but to laugh at them, and many do believe if you are laughing, nothing bad can happen to you.
The Trolls: Behind the Curtain
Dam Family
Thomas Dam's family regained control of the copyright in 1993. Before they were mass produced in plastic, the original Dammits were made out of natural rubber, had real glass eyes and sheepskin.
It was not until 2003 that a Congressional law allowed the Dam family of Denmark to restore their original U.S. copyright and become the only official manufacturer once again. A division of Uneeda, a company that made millions of dollars various times by manufacturing Troll Dolls in the U.S., challenged the restoration of that copyright in court. They lost when the court ruled that the Dam Company was the sole owner
Psycho troll
Dam Popular
Troll dolls, originally known as Leprocauns and also known as Dam dolls, became one of America's biggest toy fads beginning in the autumn of 1963, and lasting throughout 1965. The troll's brightly colored hair and impish faces, were featured in articles both in Life Magazine and Time magazine.
Trolls briefly became fads again in the 1970s, 1980s and 1990s, with as many as ten different manufacturers (such as Russ Berrie, Jakks Pacific, Applause, Hasbro, Mattel, Nyform, Trollkins and Ace Novelty) creating them.
In 2003, the Toy Industry Association named Troll dolls to its Century of Toys List, commemorating the 100 most memorable and most creative toys of the 20th century
St. James, great hub!! I used to love troll dolls when I was a child. I specifically collected the ones with diamond belly buttons. Legend says that when you make a wish by rubbing on the trolls special belly button, your wish would come true. As a child I used to wish for ridiculous things like ponies and unicorns. Safe to say these wishes never came true, and I for a while was convinced that troll dolls were a sham!
St. James - My troll facts must be misinformed! Or maybe it was my fabulous imagination that so greatly wanted my pony :)
Geez i just bought a warehouse of antiques...And i have a whole room of these things...prolly the lesser value ones with my luck!
This brought back some memories big time! As a child I had several of these, from keyring size, up to 5 inch + tall size. Not sure if they were the originals, or the copies, but I loved them anyway.
That's a sweet story of a father creating this toy for his little girl. We were crazy about these Treasure Trolls as kids!? You wouldn't imagine how much we love to torture those hairdos of theirs?! BTW, was that trolls ass necessary? LOL
OMG, St. James. What in the world inspired you to write this hub? I honestly haven't thought about Dam Dolls since 1st or 2nd grade. They were all the rage. ANd of course the best part about them (besides the hair in colors not found in nature) was shouting their name: DAM DOLLS!! We thought whoever came up with this name was brilliant, as it gave us elementary schoolers permission to "curse" with impunity. Ha ha ha ha. Teachers and parents were helpless to stop us! Thanks for the walk down memory lane. MM
My sister played with trolls! She had a shoebox full of these little creatures.
Hi St.James I just adore them. I think they are the cutest little thing going around. Thumbs up for giving them a mention. They are still getting around here in OZ. I am sure I had one...waghhhhhhhhhhh...I want another one.
Shouldn't BlondePoet be a legend after all those unforgettable incidents?
Thanks for the hub. I didn't know the history of Troll Dolls.My daughter fell in love with them some years ago, and I think we bought some from Ebay.
Yes, Blondepoet is legend.
I'm surprised they haven't made a Blondpoet Troll Doll yet !
I'd hate to think what a wrathful blondepoet would do to my arms and legs. Actually, she's stalking me. I've got one of these nailed over every entrance in the house to repel her.
url not working - will try to post image later.
She already ambushed me and gave me a beard waxing. It used to reach down to my knees!
What you see now is just regrowth.
Ooooooo you are awful but I like you. Eric Eric Eric, twenty lashes for you. LMAO. I just saw that doll. ##*)$#. See how good you are looking Eric, from what I did to you with my wax. I used a whole tub on him, honestly he was as hairy as a baboon.I shaped him, waxed him, polished him, and look at him now. Stalking you eh, put boards up, well I am heading your way with my pink bulldozer I am going to be like the big bad wolf and huff, and puff and blow your house down haha. Now here is a real pic of me. I am on the right, the two girls on the left are starring with me in my new Broadway production. http://www.comparestoreprices.co.uk/images/ma/matt...
Maymong you beautiful girl to say such things. Here is a gift voucher to come to my salon.....I will pamper you...whatever you desire.x0x0x0x
James,James, James.......Now what am I going to do to you...(Blonde is now deep thinking). You actually have given me a little backing here.....You can co-star with me as Romeo in my upcoming production, "Romeo and Juliet".
"Oh that the fates should throw up this cruel barrier, just when I shouldst choose to marry ya."
I'd forgotten about my little troll! Don't remember it being called a dam doll, though, so I suppose I had a knock off. Hmmm....gives me a silly idea for my daughter's upcoming birthday :-)
Oh damn just had to come back now that I have slept on all this. You know Eric, maybe my troll doll is not as bad as I first thought. This could be marketable material. I of course should receive...cough..errr.. a 10% commision of all sales. Oh I must go get AEvans to come have a look at this. Haha don't worry James my shears are put far away, for you, I don't want to risk losing my leading man at any costs LMAO.
BP is a legend and I had those little troll dolls , they are so adorable!!! I had one with yellow hair and one with purple hair, in fact I have them still in a box from my adolescence, thanks for sharing the story behind the "dam doll" ::::::)
Awwww AE......I am really beginning to like this idea.......the Blonde Troll Doll for anyone else who is interested comes with 6 pairs of stilettos and 4 pairs of removable ears.....
Now that would be adorable!!!!! I would buy a few and don't forget the jewelry and multi trendy outfits. :)
Hahaha and the lip gloss and the corset and suspenders...just like the set you wore in Singapore AE, except these ones are black LMAO
I think its a lot safer for blondepoet to work on dollys. But thanks for the nice make over invitation. I uhhh...gotta go out of town this weekend. BTW, you make one beautiful dam doll. ;)
@ blondepoet:
OK, 10% it is. But you'd have to do some - err - modelling for the manufacturer.
And I'll let you use the prototype image in the link as your avatar free of charge.
(That would freak a few people Out :-) )
Err - Sorry St. James for going off topic, but when a hub is hit by the Blonde-Evans tag team, the results are totally unpredictable.
Oh Mayhmong you really think so that I make a beautiful troll doll ? Oh bless your little cotton picking socks you little honey bun. Ok well the offer is still open, if your confidence in my abilities ever grows.
Yahoo Eric let me shake your hand as we cement this business proposition. Ooooooo sorry I had a little wax on my fingers........oops sorry....oh look at what's happened.....I guess we are going to be stuck together for awhile Eric.............may as well take me for a ride on your bike while we are waiting............bring the wax remover Nurse AEvans....hurry.....haha yes I don't mind doing some modelling...have you got sunglasses on......my glamour and poise will blind you.....you aint seen a real woman til you see BP LMAO.......AE where are you...
BP: I am right here :) I am trying to figure out the type of sunglasses I need to put on, Lolol... Actually I was trying to create the cute little glasses for the trolls, they also need designer fashion.:)
LOL The Blonde-Evans Team? Is this their new project to raise money for the next trip?
mayhmong: Yes there is would you like to be involved??? You can join our team :)
BP: I am back and I certainly hope that you are not busy trolling as being stuck with hot wax is quite painful...Lol:)
Lol Mayhmong yes that is right we are selling troll dolls, raffle tickets, we have had several kiss-athons all for the good charity of the Blonde-Evans Foundation.This funds our over-sees trip,which we need to go on to pinpoint where in the world..the errr...troubles are stemming from. Omg none of that made sense LMAO.
Oh Nurse AEvans is here. Oh wonderful she is doing some fashion designing for the BP troll doll, I can hardly wait...umm AE....see this man attached to me...no he is not my new fur coat....haha...ummm do you have any solvent to wield us apart...what type of procedure is needed here...you are the expert in situations like this
Mayhmong we would be honoured for you to join the team.
AE I am still stuck here to Eric, haha,cough,cough.
I wonder what St.James will say when he is back LMAO. He is lucky we haven't started mud-wrestling yet.
He certainly is lucky and I don't know if he will be shocked or excited but in either case we have enjoyed his presence, check out jjrubio on EL Monte I will see you there. :)
Dam! LOL
I think SJ will be excited, maybe just as excited Eric is to be err attached to my appendages.
Here is a new line from our Shakespeare play St. James.
"Oh the doctor is a lousy dingo, for he hath gone to play a game of bingo." That happens just before you discover my limp body at the end of Act4.
Coming AEvans.
I love hanging around here and I love this dam hub...LOLOL:)
mayhmong you are here too, now you are on our team BP-AEVANS and mayhmong yippeeee!!! I don't know where the boys are but we will catch up.:)
I love hanging here too....even though I have something quite heavy like EG hanging off me. This has been a blast.
Yayyyyyyyyyy St.James is back. We need to get cracking with our lines. I promise to wash my hands before we practise....My producer Mr Pai Ling will get upset if I have two men attached to me lol
AE I don't know where you said to meet. I don't have my compass on me. Hell. Wait til I brush my hair and floss my teeth. Wont be a minute...Do you ever get the feeling you have to shake something off LMAO hahahahaha.
Yes I sometime feel like I have to shake somethings off LMAO hehehehe!!! Lol look for me under hubtivity ....:)
Mud Wrestling will begin shortly :D
No way St.James we would not start without you.....you are the man. (Blonde stands in the prey-mantis position) Get ready to go down...
One...two.....three....Blonde takes a flying leap(Mid-air)...St.James goes flying.....spat goes the mud...got him....pinning him to the ground..one..two...three...four.....what an easy match this is...
BP are we ready???? (AE stands oh my goodness hold on my bikini top is coming undone........)
BP are we ready???? (AE stands oh my goodness hold on my bikini top is coming undone........)
Here let me fix it for you....(ripppppppppppppp) Oh goodness I am so sorry AE I didn't mean too.........one,two,three........I got you both down in the mud hahaha.
no you didn't slammmmmmmmmmmm(ripppppppppppppppp) gotcha ya whoohoooooooooo LOLOLOLOLOLOLOL:D
Omg where has St.James gone hahaha. ...AEvans that is not a rock you have in your hands that is St.James head..........haha ...you two are going down.........
ooooppppssss!!! I didn't mean toooooo , (AE slips and falls ) are you o.k. S.J.???
hahaha groovy picture SJ........jajajajajaj...........St.James lays gasping on the bottom while AE has hold of his legs...........{Blonde takes a huge leap and splat this now turns into a full blown game of Animal Twister}
We won!!!!!!! Yipppeeeeeee (what the???) is he breathing???? Oh there he goes great mouth to mouth BP , see I knew you could do it, and you always said you didn't have it in you. (SJ standing up and a little unbalanced).
he can't talk AE he is overwhelmed....he is alive though...I hear him breathing.......oh take that AE...you beast.........my hair-do is all ruined.......aghhhhhhhhh........whose foot is that wrapped around my left shoulder.........ohhhhhhhhhhhh.....i could quite get used to all this.........ahhhhhhhhhhhh....................shame on you both...............hahaha.......noooooooo I'm tickilish...............omg
SJ what are you doing?????? Shame on meeee??????? Shame on SJ , naughty naughty I will leave you two to duke it out as I am hungry.....LOLOLOLOL:)
yes........pant pant......... I gave him the kiss of life.....I learnt it from that nursing manual you sent me...........did I do a good job........lololololol. His eyes are open. He is staring into space transfixed hahaha. Yes we won, we won, yahooooooooo......we better find our clothes now......oooh that was awesome thankyou guys. I got to walk home now and find a hose to wash off.....I am burning my lunch..hahah truly smoke alarm just went off..........that was heaps fun.x0x0x0x0x That was a long time overdue AE, and I hope it was a good first experience St.James LMAO
The picture is awesome love it.We made the headlines woooooooooooottt. The fame never stops rolling in.See you guys that was just awesome.x0x0x(Hugs)
You guys have way too much fun :0)
It wasn't much fun for me Tom, still stuck to BP.
I feel like I've been in a tumble dryer with a couple of Amazons. (But I must admit the view was pretty good :-) )
BP bring back SJ's wallet I have told you not to do that, BP give it back....!!!
I swear it wasn't me noooooooooooooooooooooo. How can you think that AE and St.James nooooooooooo.How can you think that St.James ????? Did I not give you the kiss of life,that took me ten whole minutes breathing into your mouth.Growl.What about Eric. Yesssssssssss that's right EG, that man is still attached to my appendages.This calls for a body search.Who volunteers to go first. Ehhhh.
It was Eric has he pointed it out , I knew it was a man's hand that I saw snatch it away, sorry about that buddy through all of the mud , I forgot Eric wears the same ring you do....hehehhehheheh LOLOLOLOL:)
@St. James Here's your wallet - complete with moths.
I was just practising for my new job as first mate on a pirate ship, where I'll need to use those skills. But I've said too much now.
<<Pulls out katana, and with a might swipe cuts himself free of BP. Only drawing a bit of her blood in the process.>>
(Oh well, now we're even for the time she cut half my ear off.)
Bye Landlubbers. AHOY !
hahaha see I told you. EG's hands where everywhere I can assure you.HE IS GUILTY GUILTY. ....Haha St.James if you like the flavour you can chew it on it some longer......(Blonde suddenly clicks). No no I want it back now you have to transfer it the same way it was delivered..(Blonde begins to pucker up) EG turn away stop looking you will be corrupted further........See AE I am no thief, I may be a scoundrel but I would never........oh here AE please take your 24carat ear-rings back they kind of dropped in my pocket
Ouchhhhhhhhh ooo that hurt. Bye EG I will forever remember this experience we shared
Yes run run run remember I would like to be paid by cheque for BP Troll Doll Enterprises's monthly sales. Fire away SJ....ohhh I feel so much lighter........
Wow St.James 78comments here....you truly deserve every single one this was so much fun.I give the page a thumbs up too,everytime I click on it.
BP remember I let you borrow those earrings, no more wine for you , oops I almost forgot here is that ring , oh dear whose ring is this??? It was stuck in the mud, whose ring is this???
Hahahaha AEvans oh you mean to tell me that ring just happened to slip down your cleavage ooooo you are a bad bad girl. I swear I haven't been drinking I am just on a natural high from all these adventures and all the perfumes in the air.You deserve a good spanking from SJ over his knee, but you got to hang on 5min til I get my gum back hahaha.In the queue now LMAO
We are in trouble again AE https://hubpages.com/literature/The-Captain-and-Ch... Eric is talking of us to the Captain...oh aye indeed.
Aye St.James haha but AE does not seem to be here, I take all the blame,pick me, pick me..........LMAO
The psycho troll is positively creepy. I am checking right now...there must be some kind of urban legend lurking around that creepy psychotroll! Great hub.
Yahoooooooooooooo I shall certainly return the favour....
I bet you willl LOLOLOL , did you get your gum back. :)
Man, I go to bed and return to hear all of you in to mud wrestling?! LOL That was great! I'll catch you two in the captains hub and see if its safe.
yes I did AE wooooott and it was still fresh as when I first put my teeth into it. Oh Mayhmong you missed out on so much fun, I did think of you though as I threw my full force down upon the others....Did you hear AE they flagged my pic again LMAO, now I am but a mere brunette there. Oh well the show must go on.....the show will always go on...
From how you all behaved, sounds like a bunch of naked trolls having some mud wrestling together!
LOL thanks, I probably will miss the next one too cuz I'm starting to hit the z's soon.
I once had a two headed troll doll. I'm sure it must have been a knock off, but when they're so dang cute, who cares!
Oh my, yep, I had plenty of Dam Trolls in my day...I'm not proud of it, just putting it out there :) Nice Troll butt pic LOL
Haha, I'm still obsessed with those trolls. I personally always preferred the rubber types. A lot of my usernames had 'troll' in it and some still do. My people are troll people, I tell you! We are runty and hairy and we love our belly rubs.
I'm glad I came across this hub. Funny comments here, too. ;)
My companion & me were gearing up for another Craigslist run before starting off on a weekend of Flea Market sales. He asked me about the foot locker full of troll dolls. We spent hours researching prices, history, you name it.....
We sold 8. We ain't going to do the Flea Markets this month. We made enough money to pay the apt. rent, car payment, & a month's worth of food!
We're still working on the contents of the footlocker! Some are original, and some are knockoffs. But! I will say this! I'm keepin back my favorites!!
Thank You Thomas Dam!
Richard ~~ Hard Tymes At Gmail Dot Com
Hi St. James
Thank you for writing this hub. My mom is 74 years old, and she collects troll dolls. When I call her tomorrow night, I plan on reading her your hub. I am sure she will really enjoy it just as I did.
Come visit my troll blog (has photos of my collection):
I totally agree. Their ugliness is what everyone loves. You can't help but look at them and smile.
Im trying to sell 14 of these and im not sure how much to sell them for, help :)
I loved reading this! Very informative indeed. I don't think I have ever learned so much about that doll. Hell, I don't think I knew ANYTHING about it. Thanks for the Hub!
I handle Estate Sales, and Recently one was for a TOY HOARDER. We pulled 43 16 foot trailers out of her house. There was over 1,000 of these troll dolls in there. Where can I find out more about them. Many have the DAM Denmark stamped on them, many UNEEDA, Russ, ACE etc. ? Any help?
I love Trolls...I have several from miniature to the regular size along with a painted on one. I would not ever consider selling them. They are part of my childhood. Thanks for your hub...enjoyed it. Great background on them!
Dear AshleyVictoria,
May I just say that no you were not missinformed I too growing u as a little girl was told that by rubbing on the star belly button and making a wish that it would come true needless to say the wish I made I wish it had not come true my life has been hell eve since but tht mighthave just been a stroke of bad luck for me and not the fate of the troll doll I realy wish I could find another one
Great Hub! We played for hours with troll dolls and Barbie's. I had no idea about the history - thanks for sharing! ;-)
ive just bought loads of theses trolls from a car boot sale! I got 35 of them for just £5. I got a great deal, but the seller obviously didn't know of there true value.Im not too sure whether to keep and collect them or to sell them?
Nice! I use to have lots of troll dolls. I loved them, and yes you can see the difference in the cheap knock offs. I wish I would have kept them. : (
I have one tiny troll given me by my son years ago. It is from a bubble gum type machine that cost only 25 cents. It has green hair. I love it! Thanks for the reminder of troll dolls.:)
I had tons of these when I was younger. They are coming back!. Good job on the hub.
I use to have one of those cute troll doll when I was a child, mine have a pink hair hmmmmmm wonder were my mom put that doll of mine
Fantastic and very informative article about Dam trolls! Sadly thoug none of the trolls pictured were actually Dam trolls :-( not even one.
I have loved these Dam Thing dolls since 1964 when I got my first Dam Thing orginal doll he is approx 12 inch tall and his arm span is 10 inch wide has his original clothes oon. On the bottom of his left foot is engraved Dam Thing est. and 1964 and that is when I got himand I have 3 others different sizes. I have had my dolls for 48 years and love them so much.
I have a collection of Norfin Trolls that are tagged and in mint condition. I would like to sell them. If there is anyone interested in buying them I would send you pictures of them. Email me at firstname.lastname@example.com
thank you
i got my first dam troll in 1969 from my grandad when i was 7 i fellin love with the little fellow after that i started to collect them they cost me threepence a week in ald money while playing in the garden with my sister and our trolls a group of teenagers came up and grabbed them and ran off with them,i cried myself to sleep i started to collect them again in the 1970's costing me 25p a week i was told i was to old for them,when i was in my teens.and i took them to my local childrens hospital, something i regret. i started to collect them in the 1980's and been collecting ever since.
i didn't realize that was how the troll doll came to be. such a heartwarming story of a father's love for his daughter. i am glad i found this hub. it was so unexpected.
Very funny Hub! I LOVED troll dolls when I was a child and usedto spend hours grooming their hair.
I looooove TROLLS!! This is a cool post, and I am sincere with that comment. :D I used to have (more or less) fifty Troll Dolls, they were my 'friends' when I was very young, we'd take walks and have tea! LOL!
I have a collection of Thomas Dam Trolls for sale if you would like to see what i have email me at firstname.lastname@example.com They are tagged and in mint condition.
Thank you
Kathy Boody


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1 320 Asymmetric Bilateral Hip Dislocation after Motor Vehicle Accident A Case Study and Review of the Literature Samuel Sanders, M.D., and Nirmal C. Tejwani, M.D. Abstract Bilateral asymmetric dislocations of the hip are rare compared to unilateral dislocations. This case study describes a female restrained passenger involved in a motor vehicle accident who sustained asymmetric bilateral hip dislocations. The patient underwent successful closed reduction of both hips. The clinical course and follow-up assessment of the patient was otherwise uneventful. Computed tomography scans, essential for diagnosing intra-articular loose bodies and subtle s, were performed after reduction and revealed in the right hip a nondisplaced acetabular rim of the posterior wall on the side of the posterior dislocation. Hip dislocations are an injury requiring careful trauma evaluation to rule out concomitant injuries. Time to presentation and, more importantly, reduction of a hip dislocation, is essential in treating this injury and preventing long-term complications, such as avascular necrosis and posttraumatic arthritis. The incidence, anatomy, mechanism of injury, treatment options, and long-term sequelae of hip dislocation, with literature review, are discussed. Samuel Sanders, M.D., was a Chief Resident in the Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases. Nirmal C. Tejwani, M.D., is Associate Professor, New York University School of Medicine, and from the Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York. Correspondence: Nirmal Tejwani, M.D., Suite1402, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 E 17th Street, New York, New York 10003; nyu.edu. Hip dislocations occur infrequently and almost always after traumatic injury; 85% to 90% of these are posterior dislocations. 1 Bilateral hip dislocations are rare and asymmetric are even more rare, with only 14 reported cases in the literature. A Medline search was performed for articles, using the key words traumatic bilateral hip dislocation. The search resulted in 14 cases of asymmetric bilateral hip, all of which occurred in male patients and the majority of which resulted from a motor vehicle accident. To the best of our knowledge, this case report is the first to describe this injury pattern in a female patient. All of the cases reviewed had varying times of reduction of the femoral heads, but all resulted in positive outcomes. Associated injuries that were described included femur 2 and acetabular. 3 Case Description A 31-year-old female restrained passenger in a motor vehicle accident was brought by ambulance to the trauma bay after the automobile in which she was traveling collided with a brick wall at approximately 30 mph. Upon arrival, she was found to be hemodynamically stable, with a Glasgow Coma Scale (GCS) score of 15. During the initial evaluation, it was found that there was no loss of consciousness (LOC) or internal injuries sustained during the accident. The patient arrived at the trauma bay within 2 hours of the accident and had obvious deformities of both lower extremities. On physical examination, the right hip was shortened, adducted, and internally rotated. The patient had limited external rotation, with passive and active range of motion, and had greater than 45 passive internal rotation. The left hip was shortened, flexed, abducted, and externally rotated. There was limited internal rotation, with passive and active range of motion, and greater than 45 of passive external rotation. The lower extremities had palpable pulses, with sensation and motor function intact bilaterally. Initial imaging included anteroposterior radiographs of the pelvis that revealed a right posterior hip dislocation and left anterior-inferior hip dislocation (Fig. 1A). Using conscious sedation (100 mg of IV fentanyl and 4 mg of IV Versed ), the right posterior hip dislocation was reduced first Sanders S, Tejwani NC. Asymmetric bilateral hip dislocation after motor vehicle accident: a case study and review of the literature. Bull NYU Hosp Jt Dis. 2008;66(4):320-6.
2 A 321 B Figure 1 A, Right posterior hip dislocation and left anterior-inferior hip dislocation injury. B, Post-reduction radiograph of the pelvis, demonstrating reduced hips without any obvious s. A B Figure 2 CT scans showing a small right-sided acetabular rim of the posterior wall. with gentle traction and countertraction with both the hip and knee in 90 of flexion. This maneuver was accompanied by gentle internal rotation to clear the posterior acetabular rim, followed by external rotation to position the femoral head within the acetabulum. Once the right hip was reduced, traction and countertraction was applied to the left hip in 45 of flexion and the knee in 90 of flexion. With traction being held, the hip was gently externally rotated to clear the anterior acetabular rim and then internally rotated to seat the femoral head within the acetabulum. A post-reduction radiograph of the pelvis demonstrated reduced hips without any obvious s (Fig. 1B). A post-reduction computed tomography (CT) scan showed a small right-sided acetabular rim of the posterior wall (Fig. 2). Radiographs of the wrist and hand showed a fifth metacarpal, treated by delayed operative fixation. At 6 months, the patient was jogging 15 miles per week and complained of an occasional dull aching right hip pain (side of posterior dislocation) only during sudden changes in weather. Discussion Anatomy The hip joint is a true ball-and-socket joint in which the head is incompletely covered. Because of the depth of the acetabulum, enhanced by the labrum, and its thick capsule and strong muscular support, the hip joint is less likely to dislocate than any other joint in the body. The ligamentous support is provided by strong capsular ligaments that run from the acetabulum to the femoral neck and the intertrochanteric region. The iliofemoral, or Y ligament, is located anteriorly. The ischiofemoral ligament is located posteriorly. The short external rotators adhere to the capsule posteriorly, providing additional stability. The blood supply to the femoral head has been well described.1 In adults, the main arterial supply is derived from the cervical arteries, which originate from an extracapsular ring at the base of the femoral neck. This ring is formed by contributions from the medial femoral circumflex artery posteriorly and the lateral femoral circumflex artery anteriorly. The capital branches pass through the
3 322 Table 1 Reported Asymmetric Hip Dislocations Time (Hrs) Traction X PWB FWB AVN F/U Case Age/Sex Mechanism Treatment P Injury Injuries (wks) at (wks) at (wks) Y/N (mos) 1 36/M MVA Anterior Closed N 20 Posterior Closed Acetabular 6 10 N (ORIF) Open patella (incision and drainage 2 26/M Trapped Anterior Open N 60 between Posterior Closed 2 4 N auto & wall 3 28/M MVA Anterior Closed N 24 Posterior Open Acetabular 6 Y at 8 M /M Thrown from Anterior Closed N motorcycle Posterior Closed N 5 18/M MVA Anterior Closed Posterior Closed /M Ped struck Anterior Closed N 36 Posterior Closed Acetabular 6 12 N 7 50/M MVA Anterior Closed N 12 Posterior Closed Femoral shaft 4 N (ORIF) 8 18/M MVA Anterior Open 6 12 N 24 Posterior Closed 6 12 N /M MVA Anterior Closed 12 Posterior Closed Acetabular 10 28/M MVA Anterior Closed 6 Posterior Closed /M Fall from Anterior Closed Femoral head a height (Open treatment) Posterior Closed 12 38M Plane crash Anterior Closed 6 Posterior Closed SI joint diastasis 13 21M MVA Anterior Closed N 44 Posterior Closed Lisfranc N /dislocation 14* 31F MVA Anterior Closed 2 1 Posterior Closed 1 15 Anterior Posterior 16 Anterior Posterior 17 Anterior Posterior *Current Case; PWB, Partial weightbearing; FWB, Full weightbearing capsule close to its insertion to lie on the femoral neck. They then ascend the neck and enter the femoral head just below the articular surface. The superior and posterior cervical arteries are derived primarily from the medial circumflex artery. They are larger and outnumber the anterior vessels. A lesser contribution to the femoral head comes from the foveal artery via the ligamentum teres. With a hip dislocation, whether anterior and posterior, the tenuous blood supply will be compromised, which can lead to an increased risk of avascular necrosis (AVN). 4 Mechanism of Injury In multiple case studies, the mechanism of bilateral asymmetric dislocation of the hips has been shown to be
4 323 Table 2 Systems for Classifying Hip Dislocation Stewart-Milford System Type I Simple dislocation without Type II Dislocation with one or more rim fragments but with sufficient socket to endure stability after reduction Type III Dislocation with of the rim, producing gross instability Type IV Dislocation with of the head or neck of the femur Thompson-Epstein System Type I Dislocation with or without minor Type II Dislocation with single large of the posterior rim of the acetabulum Type III Dislocation with a comminuted of the rim with or without a large major fragment Type IV Dislocation with of the acetabular floor Type V Dislocation with of the femoral head dashboard injuries. 2,3,5,6-8 The direction of the dislocation is dependent on the position of the hip and the direction of the force vector applied, as well as the anatomy of the femur. 9 Asymmetric dislocation in a patient is due to the differing positions of the lower extremity during impact. 1 The impact on the knee with the hip in an adducted position leads to a backward force, causing a posterior dislocation. In contrast, an anterior dislocation occurs with the hip in abduction and external rotation. Associated Injuries and Pathoanatomy Associated injuries include those directly related to the hip dislocation and those due to the traumatic incident itself. Ipsilateral injuries include femoral head, neck, and shaft s; acetabular s; pelvic s; sciatic nerve injury; knee injuries; and foot and ankle injuries Knee injuries, including patellar s, ligament rupture, and knee dislocation, are associated with posterior dislocations due to direct trauma to the knee. Intra-abdominal, head, and chest trauma have also been widely reported. A high index of suspicion must be maintained and careful trauma evaluation is necessary for all patients with a hip dislocation. It should also be noted that the frequency of severe associated injuries often causes delay in the diagnosis of dislocation. 4 With hip dislocations, the capsule and the ligamentum are usually disrupted. Labral tears and muscular injury can occur as well. In anterior dislocations, the psoas is a fulcrum for the hip, and the capsule is disrupted anteriorly and inferiorly. Posterior dislocations tear through the capsule either inferoposterior or directly posteriorly, depending on the amount of flexion present. The Y ligament is usually intact, and the capsule is stripped from its acetabular attachment posterior to it. In some cases, however, the Y ligament may be avulsed from the acetabulum with a fragment of bone. 13 Fractures of the femoral head are common and may be the result of impaction injuries, avulsions, or shear s. Impaction injuries commonly occur in anterior dislocations. 1 Avulsed fragments of bone are frequently found attached to the ligamentum teres and lying in the fovea. Posterior dislocations may be associated with acetabular s, similar to our patient who sustained a posterior wall. Classification System The first part of the description is the specification of whether the direction of dislocation is anterior or posterior. Those of Stewart and Milford, and Thompson and Epstein are the most commonly used. These classification systems have been found to have prognostic significance, as s associated with operative acetabular or femoral head s have a worse prognosis than others In our patient, the classification was SM 2 for the right hip and SM 1 for the left hip (Table 1). 4 Diagnosis In the absence of femoral shaft or neck s, the position of the leg is the key to diagnosis. For the posterior dislocation, the leg is flexed, adducted, and internally rotated. With an anterior dislocation, the leg is externally rotated with varying amounts of flexion and abduction. A detailed examination of the entire lower extremity is required to rule out concomitant injury. A single AP radiograph as part of the standard Advanced Trauma Life Support (ATLS) protocol is usually sufficient to confirm the diagnosis. The head will not be congruent in the acetabulum. In posterior dislocations, the head will appear small and will lie superiorly and overlap the acetabular roof. In anterior dislocations, it will appear larger and will either lie inferiorly near the obturator foramen or overlap the medial acetabulum. Treatment The treatment of hip dislocations is aimed at the avoidance of complications. This begins with an emergent reduction. The incidence of AVN increases if reduction is delayed. 15,17 A closed reduction should always be attempted unless there is an associated hip or femoral neck. There are several described techniques in the reduction of both anterior and posterior hip dislocations. Regardless of the direction of the dislocation, the reduction can be attempted using in-line traction with the patient lying supine, with countertraction exerted by an assistant holding the pelvis, and with the reversal force of the injury. The preferred method is to perform a closed reduction under general anesthesia; if this is not feasible, reduction under intravenous sedation is possible. Regardless of the direction
5 324 of the dislocation, traction should be applied in a steady manner to overcome muscular spasms and elastic restraints. Femoral neck s may be caused by overly enthusiastic reduction maneuvers. 18 Three popular methods for achieving closed reduction of the hip are: 1. Allis method: Traction is applied in line with the deformity. The patient is placed supine, with the surgeon standing above the patient on the stretcher. Initially, the surgeon applies in-line traction, while the assistant applies countertraction by stabilizing the patient s pelvis. While increasing the traction force, the surgeon should slowly increase the degree of flexion to approximately 70. Gentle rotational motions of the hip and slight adduction will often help the femoral head clear the lip of the acetabulum. A lateral force to the proximal thigh may assist in reduction. An audible clunk is a sign of a successful closed reduction Stimson gravity technique: The patient is placed prone on the stretcher, with the affected leg hanging off the side of the stretcher. This brings the extremity into a position of both hip and knee flexion of 90 each. In this position, the assistant immobilizes the pelvis and the surgeon applies an anteriorly directed force on the proximal calf. Gentle rotation of the limb may assist in reduction Bigelow and reverse Bigelow maneuvers: These have been associated with iatrogenic femoral neck s and are not as frequently used as reduction techniques. In the Bigelow maneuver, the patient is supine, and the surgeon applies longitudinal traction on the limb. The adducted and internally rotated thigh is then flexed to at least 90. The femoral head is levered into the acetabulum by abduction, external rotation, and extension of the hip. In the reverse Bigelow maneuver, used for anterior dislocations, traction is again applied in the line of the deformity. The hip is then adducted, sharply internally rotated, and extended. 1 Approximately 2% to 15% of hip dislocations are irreducible. 4 In anterior dislocations, this may be due to buttonholing through the capsule or interposition of the rectus, capsule, labrum, or psoas. In posterior dislocations, the piriformis, gluteus maximus, capsule, ligamentum teres, or the labrum or a bone fragment may prevent reduction. 19 If the hip is irreducible, urgent, open reduction is recommended. If possible, Judet views, inlet and outlet views of the pelvis, and a CT study should precede the procedure to identify coincident bone injury and possible obstructions to reduction. Following closed reduction, radiographs should be obtained to confirm adequate reduction. The hip should be examined for stability while the patient is still sedated or under anesthesia. If an obvious large, displaced acetabular is found, the stability examination need not be performed. Stability is checked by flexing the hip to 90 in neutral position. A posteriorly directed force is then applied. If any subluxation is detected, the patient will require additional diagnostic studies and possibly surgical exploration or traction. After successful closed reduction and completion of the stability examination, the patient should undergo a CT scan to assess for any acetabular femoral head pathology and to evaluate possible loose bodies within the hip joints. If the hip is unstable, then skeletal traction is used. Operative Management The absolute indications for surgery include irreducible dislocations and nonconcentric reductions with intra-articular fragments of bone or cartilage. Irreducible dislocations should be treated as surgical emergencies. Open reduction should be performed from the direction that the hip dislocated. Posterior dislocations are addressed via a Kocher-Langenbach approach. The sciatic nerve is protected, and direct access to impediments to reduction is provided. The capsular disruption may require extension, and interposed soft tissue must be removed from the joint. The acetabulum should be examined for loose bodies before the hip is reduced. After the joint has been cleaned out, the hip is reduced. If an associated posterior wall exists, stability testing is required. After confirmation of the reduction, the bony, capsular and soft tissue injuries are repaired. 4 Irreducible anterior dislocations are addressed through an anterior or an anterolateral approach. The direct anterior approach will allow better visualization of the anterior joint and femoral head s, if present; the anterolateral approach allows access to the posterior hip through the same skin incision, if needed. The approach used depends on the associated lesions. 4 Removal of intra-articular fragments of bone or cartilage, especially if the reduction is not concentric, is another indication for surgery. 15,16,20 Small fragments that are seen in the fovea and which do not impinge on the head need not be removed. 21 This is a common finding and usually represents a small piece of bone avulsed from the femoral head by the ligamentum teres. The fragments that require removal are interposed between the articular surfaces of the head and the acetabulum. For small intra-articular fragments that will not require fixation, arthroscopic removal may be performed. 22 Using this technique, redislocation of the hip joint is not needed to debride the joint, and additional vascular insult to the head can be avoided. It may also be used to diagnose labral tears. 23 Regardless of the type of surgery, a concentric reduction of the hip should be confirmed before wound closure. The final indication for surgery is an unstable dislocation and requires surgical fixation of an acetabular. Often, stability testing under general anesthesia is required to determine stability. The definitive test for stability is a stress test. Since clinical instability leads to repeated subluxation and arthritis, the most conservative estimate must be used to determining stability. If more than 20%
6 325 of the posterior wall of the acetabulum is d, stress testing should be performed. 24 If an open reduction is being performed, direct examination of the hip should be done at the same time. If the hip is being reduced in a closed manner, the use of fluoroscopy will be helpful in assessing stability. The patient is positioned supine. The hip is flexed to 90, internally rotated slightly, and a posterior force is applied. 4 Post-Reduction Treatment Strict immobilization leads to intra-articular adhesions and arthritis, and therefore should be avoided. Some recommend a temporary period of traction or balance suspension until the patient s initial pain has subsided. 4 After this, controlled passive range of motion exercises with a continuous passive motion (CPM) machine and early mobilization are thought to benefit the patient s overall condition. Extremes of motion should be avoided for 4 to 6 weeks, to allow for capsular and soft tissue healing. At our institution, the patients with hip dislocations are mobilized as soon as pain permits, with no traction used. The patients are allowed to weightbear, as tolerated. Although early weightbearing has not been shown to add to the initial ischemic insult, it is believed that the amount of collapse in patients who develop AVN may be diminished if weightbearing is delayed. 24 Rehabilitation should include strengthening exercises for the musculature about the hip. Proprioceptive training, such as that with the use of a tilt board can be helpful. Return to high demand activities and sports should be delayed until hip strength is near normal. Outcome In general, anterior dislocations without femoral head injury have a better long-term prognosis than posterior dislocations. 1 Other variables have also been associated with poorer outcomes, although these may have their effect by inducing AVN or arthritis. Associated injuries have a negative prognostic effect on the clinical result. The most important prognostic factor is probably time to reduction. 14,15,17,25 AVN of the femoral head has also been found to occur in dislocations and is a poor prognostic indicator of clinical outcomes. AVN in previous studies was seen in 4.8% of those patients who received hip reduction in less than 6 hours; however, a 52.9% rate was seen in those whose hips were reduced after 6 hours. Weightbearing was not shown to have a significant effect on AVN in this study. 25 The dislocated hips of the patient being reported here were reduced within the first 3 hours and at last follow-up there was no radiological evidence of AVN. Long-term follow-up using imaging to monitor would benefit patients. AVN usually appears within 2 years, but has been seen to occur as long as 5 years after injury. None of the patients in the literature had developed AVN after 6 months of bilateral hip dislocation. Arthritis is the most common complication in those patients with dislocations from traumatic injuries. It has been shown to occur in up to 24% of patients, with those who have a sedentary lifestyle having lower rates after 14 years of follow-up. In those involved in the highest levels of manual work, up to 37.5% were shown to develop arthritis after traumatic accidents. 9 The damage to the chondrocytes at the time of the injury is probably responsible for the incidence of late arthritis seen after dislocation. It is important to counsel patients about the long-term impact of these injuries. Sciatic nerve injury is more common after -dislocation than after pure dislocation. If it occurs, it is usually partial and most often affects the peroneal distribution. Resolution after reduction of the dislocation is the rule, and exploration is not required unless nerve function was intact before the reduction and then lost afterward. Conclusion Hip dislocations are uncommon injuries that result from high energy trauma and require careful trauma evaluation to rule out concomitant injuries. Bilateral asymmetric dislocations are rare. This is the first report of such an injury in a female patient. Early reduction, within 6 hours, and close radiological follow-up, including CT scans, is recommended. It is also essential to educate and follow the patient for evidence of AVN and posttraumatic arthritis. Disclosure Statement None of the authors have a financial or proprietary interest in the subject matter or materials discussed, including, but not limited to, employment, consultancies, stock ownership, honoraria, and paid expert testimony. References 1. DeLee JC. Fractures and dislocations of the hip. In: Rockwood CA Jr, Green DP, Bucholz R (eds): Fractures in Adults (4th ed). Philadelphia: Lippincott-Raven, 1996, Vol 2, pp Kundu ZS, Mittal R, Sangwan SS, Sharma A. Simultaneous asymmetric bilateral hip dislocation with unilateral of the femur-peculiar mode of trauma in a case. Eur J Orthop Surg Traumatol. 2003;13: Martinez AA, Gracia F, Rodrigo J. Asymmetrical bilateral traumatic hip dislocation with ipsilateral acetabular. J Orthop Sci. 2000;5(3): Tornetta P, Mostafavi H. Hip Dislocation: current treatment regimens. J Am Acad Orthop Surg Jan;5(1): Dudkiewicz I, Salai M, Horowitz S, Chechik A. Bilateral asymmetric traumatic dislocation of the hip joints. J Trauma Aug;49(2): Kaleli T, Alyuz N. Bilateral traumatic dislocation of the hip: simultaneously one hip anterior and the other posterior. Arch Orthop Trauma Surg. 1998;117(8): Lam F, Walczak J, Franklin A. Traumatic asymmetrical bilateral hip dislocation in an adult. Emerg Med J Nov;18(6): Maqsood M, Walker AP. Asymmetrical bilateral traumatic hip dislocation with ipsilateral of the femoral shaft. Injury Sep;27(7): Upadhyay SS, Moulton A, Srikrishnamurthy K. An analysis
7 326 of the late effects of traumatic posterior dislocation of the hip without s. J Bone Joint Surg Br Mar;65(2): Gillespie WJ. The incidence and pattern of knee injury associated with dislocation of the hip. J Bone Joint Surg Br Aug;57(3): Suraci AL. Distribution and severity of injuries associated with hip dislocations secondary to motor vehicle accidents. J Trauma May;26(5): Wu CC, Shih CH, Chen LH. Femoral shaft s complicated by -dislocations of the ipsilateral hip. J Trauma Jan;34(1): Bucholz RW, Wheeless G. Irreducible posterior dislocations of the hip. The role of the iliofemoral ligament and the rectus femoris muscle. Clin Orthop Relat Res Jul;(167): Paus B. Traumatic dislocations of the hip; late results in 76 cases. Acta Orthop Scand. 1951;21(2): Stewart MJ, Milford MW. Fracture-dislocation of the hip; an end-result study. J Bone Joint Surg Am Apr;36(A:2): Thompson RC. A new physical test in dislocation of the hip. J Bone Joint Surg Am Sep;54(6): Brav EA. Traumatic dislocation of the hip: army experience and results over a twelve-year period. J Bone Joint Surg Am. 1962;44: Polesky RE, Polesky FA. Intrapelvic dislocation of the femoral head following anterior dislocation of the hip. A case report. J Bone Joint Surg Am Jul;54(5): Canale SF, Manugian AH. Irreducible traumatic dislocations of the hip. J Bone Joint Surg Am Jan;61(1): Levine RG, Kauffman CP, Reilly MC, Behrens FF. Floating pelvis. A combination of bilateral hip dislocation with a lumbar ligamentous disruption. J Bone Joint Surg Br Mar;81(2): Rosenthal RE, Coker WL. Posterior -dislocation of the hip: an epidemiologic review. J Trauma Aug;19(8): Keene GS, Villar RN. Arthroscopic loose body retrieval following traumatic hip dislocation. Injury Oct;25(8): Fitzgerald RH. Acetabular labrum tears. Diagnosis and treatment. Clin Orthop Relat Res Feb;(311): Stuck WG, Vaughan WH. Prevention of disability after traumatic dislocation of the hip. South Surg. 1949;15: Hougaard K, Thompson PB. Traumatic posterior dislocation of the hip prognostic factors influencing the incidence of avascular necrosis of the femoral head. Arch Orthop Trauma Surg. 1986;106(1):32-5.
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text:
I came.
I ran.
And I ate macaroni + cheese pancakes.
Full recap to come soon…very soon…
{ 36 comments }
DEFINITELY can't wait for the recap!
can't, wait.
YAY!!! I knew you had this thing. :)
You look like a conquering warrioress. Rock on! And wtf macaroni pancakes TELL woman!!!
I'm excited to hear about the race! But hold the phone- mac and cheese pancakes?
An immediate explanation is necessary.
Mac and cheese pancakes? I NEED to hear about this!
OMG. You DID not.
WTF mac and cheese pancakes? dude. i can't tell if that's totally disgusting or totally awesome.
Mac n cheese pancakes?! You've just blown my mind!
I want to hear about the Madeline meetup! And I know you all saw Evan. And you ran your race…she posted a teaser, too. You girls are such TEASES!
Hot damn that was a good weekend. I miss your face! Come back! Watching Sister Wives isn't the same without you!
Congratulations on the race! And those pancakes. Whoa, girl. Whoa.
you're too fierce for words! and mac & cheese pancakes?!? that's genious.
Looks like a great weekend!!! I'm very curious about the mac & cheese pancakes as well… :)
I had so much fun meeting you this weekend. You are hysterical and awesome to be around!! Hope to see you soon!
pancake info. please.
BAHAHAHA. Love it!
OMG. Those pancakes. You have got to be kidding me. Please tell me it was somewhere in MN?!
So fun! such cute jeans by the way– where r they from?!
You forgot that you OWNED your race… right?
Macaroni and cheese pancakes? I can't wait to read more :) Glad the race went well
U rock!
Those pancakes?! Yum!!!!!!
macaroni and cheese pancakes definitely require a comment. who comes up with these ideas, and why are they not in my life?
congrats on the race, holly!
Eee! Congrats, lady! Can't wait to hear about the race…and those pancakes. I'm intrigued to say the least.
uh…what?!? cannot wait for this recap :)
PS: what email do you want the Honduras updates sent to? My father – in – law is starting to send emails/updates about the trip, and I want to make sure you're on the list, even if you're not 100% sure yet!
Whoa, mac & cheese pancakes? Do tell…
Oh, Holly. You can take the girl out of Wisconsin…but you can't keep her away from her cheese. :) Girl after my own heart. Can't wait for the race recap- I'm sure you smashed it!
Those pancakes look unreal. Can't wait to hear more!
Congratulations on the race! :)
ugh! No fair holly! You can't just bust out the mac n cheese pancakes and leave me hanging like that! ;) Congrats on the race babe. can't wait to hear all about it! xoxo
WTF. mac and cheese pancakes?!
Congrats on finishing the race! And yea… please do tell about the mac-n-cheese pancakes!
Are you wearing a Rock Chalk Jayhawk sweatshirt?!?!
If so you are my hero.
Keepin' it real hawk-style since 2007.
Congrats on your race!
I can't wait! Especially to hear about those Mac n cheese pancakes. Yum!
and oh you definitely conquored!
…and then you left us HANGING! Can't wait to read your recap!
Comments on this entry are closed.
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text:
Mathematical Operators
In each of the following questions assuming the given statements to be true, find out which of the two conclusions I and II given below them is/ are definitely true.
In the following questions, the symbols +, -,x, ÷ and = are used with the following meanings
A + B means A is greater than B;
A – B means A is greater than or equal to B;
A x B means A is equal to B;
A ÷ B means A is smaller than B; and
A = B means A is smaller than or equal to B.
Conclusions: I. M + R II. R+P
Statements: L – R, N x M, L ÷ M, N = P
A If only Conclusion I is true. B If only Conclusion II is true. C If either Conclusion I or II is true. D If neither Conclusion I nor II is true. E If both Conclusion I and II are true.
I. Follow II. Not follow


text:
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Thank you for visiting the Center for University Access and
Inclusion, a one-stop virtual center for those interested in diversity at
Northern Arizona University. On this site you will find information about:
Please contact me if you have information or events to share
or any questions or concerns.
Thank you and please visit often,
Priscilla Mills


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Trend® Learning Charts; Traits of Writing
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Vegetable Stew With Dumplings (Vegetarian)
Recipe by Pinot Grigio
This is a very different vegetable stew just packed with flavor - and is one of my family's most requested and one of my very favorites. It is based on a recipe from one of my favorite cookbooks, "Tis the Season - A Very Vegetarian Christmas", by Nanette Blanchard. Although this comes from a Christmas cookbook, I like to serve this all year long, although it is especially comforting in the fall and winter months when it's cold. The original recipe calls for a puff pastry crust, which could make quite an elegant meal fit for company. However, I like to serve it with dumplings, so it's more everyday for my family. I'm sure it would be equally delicious without the dumplings - although my family would be upset if I didn't include them (the dumplings are usually fought over in my house). I've included just a basic dumpling recipe, but if you have one of your own, by all means please use it! You could also use some refrigerated biscuit dough if you have it on hand. This is something we might eat on a Sunday evening at our house, although the stew actually comes together quite quickly. I hope you enjoy it as much as my family does.
Top Review by ronandteri
I did not like the cinnamon at all, but then I didn't measure it, just eyeballed it and might have put in too much. Other than that, it was incredible! Even the meat eaters will love this one.
See Discussion:1 Review
Ingredients Nutrition
For Stew
- 1 large onion, chopped
- 4 garlic cloves, minced
- 3 tablespoons olive oil
- 3 tablespoons flour
- 2 tablespoons vinegar (apple cider or sherry)
- 1 tablespoon light brown sugar
- 2 tablespoons Dijon mustard
- 3 cups vegetable broth (homemade is preferred)
- 1⁄2 teaspoon ground cinnamon
- 2 large carrots, chopped
- 4 medium red potatoes, chopped (unpeeled)
- 1 cup frozen sweet peas
- 1 cup frozen sweet corn
- salt and pepper (to taste)
For Dumplings
- 2⁄3 cup Bisquick (I use Heart Smart)
- 3 tablespoons skim milk
- chives (optional) or rosemary (optional) or fresh herb, of choice (optional)
Directions See How It's Made
- In a large dutch oven, saute the onion in olive oil over med. heat for approximately 5 mins or until tender.
- Add garlic and saute just until fragrant (approx. 1 min) - be careful not to burn.
- Add flour and stir unil mixed.
- Add apple cider or sherry vinegar, light brown sugar, and dijon mustard.
- Stir until combined.
- Slowly stir in broth.
- Add cinnamon, chopped carrots, and chopped potatoes.
- Bring to a boil, reduce the heat, and simmer until thickened and vegetables are tender (approx. 45 mins).
- Add frozen peas and frozen corn and cook an additional 10 mins or until cooked through.
- Taste and season with salt and pepper if desired. (Can be served at this point if not using the dumplings).
- If making the Dumplings -
- Combine Bisquick and skim milk (and fresh herbs if desired) in mixing bowl and stir until combined and soft dough forms.
- Drop by rounded teaspoons into hot stew.
- Cover and cook until done (approx. 10 mins).
- You may need to turn your dumplings in order to cook evenly about 1/2 way through - especially if they are large.