Inferior hip dislocations are the least common form of hip dislocation. They require a high energy mechanism of injury and are often associated with other traumatic limb and life threatening injuries. This article reviews the case of a 16 year old male who presented to the emergency department (ED) following a high speed motor vehicle crash. On arrival he was diagnosed with a right inferior hip dislocation among other critical findings. This case report provides a brief literature review of this poorly studied clinical entity and seeks to educate physicians providing emergency, traumatic, orthopedic or critical care to patients who present with acute inferior hip dislocations.