Hip joint injuries remain a pressing issue in orthopedics and forensic medicine due to severe functional outcomes and the high incidence of post-traumatic complications. Despite established clinical treatment standards, the forensic assessment of health damage severity in such injuries often presents difficulties, especially in cases of delayed medical consultation or complicated clinical courses. Forensic practice indicates that the issues of objective evaluation of the severity of harm in hip joint injuries remain insufficiently resolved. Aim: To identify the clinical features and assess the forensic significance of the consequences of hip joint injuries depending on the mechanism of trauma. Materials and methods: Medical records and additional diagnostic data of 85 patients with hip joint injuries treated in the outpatient and inpatient settings of the Samarkand Regional Branch of the Republican Scientific-Practical Center of Traumatology and Orthopedics of the Ministry of Health of Uzbekistan in 2024 were analyzed. Among the cases, 39 were dislocations and 46 were fracture-dislocations. Results: Among the total of 85 observations, 39 patients (45.9%) had dislocations (complete and incomplete), and 46 (54.1%) had fracture-dislocations. In most cases, isolated injury to the joint structures was observed—29 out of 39 dislocation cases and 36 out of 46 fracture-dislocation cases. Combined injuries involving other body regions were identified in 10 patients with dislocations and 10 with fracture-dislocations. Conclusion. The analysis showed that the main causes of hip joint trauma were falls on a flat surface, blunt-force impacts, and other indirect injury mechanisms. The clinical course of dislocations typically results in temporary disability lasting 3–6 weeks. However, in cases with complications such as contracture, osteoarthritis, avascular necrosis, or nerve injury, the rehabilitation period extends to 3–6 months.