A case report of the management and the outcome of a complete epiphyseal separation and dislocation with left anterior column fracture of the acetabulum

Palencia, J; Alfayez, Saud M.; Serro, Firas; Alqahtani, Jamal; Alharbi, Hani; Alhinai, Hamed

doi:10.1016/j.ijscr.2016.04.038

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…head osteonecrosis [9][10][11]. The type of fracture, the patient's age, and the time between the traumatic event and the patient's admission to the hospital all determine the course of treatment for pediatric hip fractures and dislocations.…”

Section: Orthopedics and Rheumatology Open Access Journal (Oroaj)mentioning

confidence: 99%

“…In rare conditions, pediatric hip dislocation with transphyseal femoral neck fracture accounts for less than one percent of all hip injuries [9]. Less than 8% of hip fractures and 1% of pediatric fractures are caused by femoral head and neck fractures [10]. The location of the fracture is the basis for the Delbet and Colonna classification of femoral neck fractures.…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Hip Dislocation Associated with Iatrogenic Proximal Femoral Physeal Fracture in Children: A Systematic Review and Case Report

Mohammed Hushlul

2023

OROAJ

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Background: Traumatic hip dislocation (THD), which accounts for 3% of all joint dislocations in children which is a rare condition. pediatric hip dislocation with transphyseal femoral neck fracture accounts for less than one percent of all hip injuries. Less than 8% of hip fractures and 1% of pediatric fractures are caused by femoral head and neck fractures. A high rate of complications is linked to transphyseal femoral neck fracture related THD. Avascular necrosis, premature epiphyseal closure, nonunion, soft tissue loss injuries in open fracture-dislocation that necessitate negative pressure wound therapy, leg length discrepancy, coxavara, and the angular deformity that goes along with it are list of these complications.

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Section: Orthopedics and Rheumatology Open Access Journal (Oroaj)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Traumatic Hip Dislocation Associated with Iatrogenic Proximal Femoral Physeal Fracture in Children: A Systematic Review and Case Report

Mohammed Hushlul

2023

OROAJ

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show abstract

“…The reported incidence of AVN after a Delbet type I injury is 80-100% [ 9 ]. Most (75-92%) hip dislocations in adolescents are posterior [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Favorable Outcome Twenty-Two Months after Delbet Type Ib Capital Femoral Transepiphyseal Fracture and Posterior Column Acetabular Fracture in a Fifteen-Year-Old Male

Sethuraman

Morse

Guzman

et al. 2022

Case Reports in Orthopedics

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Case. A fifteen-year-old male patient sustained a posteriorly dislocated right capital femoral Delbet type Ib epiphyseal fracture-separation and a right acetabular posterior column fracture after a low-energy trip and fall. The capital femoral epiphysis was closed reduced and fixed with cannulated screws on an urgent basis. He underwent acetabular osteosynthesis via a Kocher-Langenbeck approach two days thereafter. Twenty-two months after injury, he was weight-bearing on the right lower extremity without radiologic evidence of avascular necrosis or clinical evidence of pain or functional deficit. Conclusion. Fracture-separation of the capital femoral epiphysis comprises only 8% of skeletally immature femoral neck fractures in the Delbet and Colonna classification. Prognosis is worse with ipsilateral hip dislocation due to the risk of avascular necrosis from disruption of the medial femoral circumflex artery. Urgent referral to a trauma center and treatment by appropriate specialists enables good long-term results after this uncommon traumatic injury pattern.

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Epidemiology and injury morphology of traumatic hip dislocations in children and adolescents in Germany: a multi-centre study

Braun

Loose

Schmittenbecher

et al. 2023

Eur J Trauma Emerg Surg

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A case report of the management and the outcome of a complete epiphyseal separation and dislocation with left anterior column fracture of the acetabulum

Abstract: HighlightsA case of a child with hip dislocation and acetabular fracture is presented.The patient underwent reduction and internal fixation with two cannulated screws.Osteonecrosis of the femoral head was evident after six months.

Cited by 4 publications

References 11 publications

Traumatic Hip Dislocation Associated with Iatrogenic Proximal Femoral Physeal Fracture in Children: A Systematic Review and Case Report

Traumatic Hip Dislocation Associated with Iatrogenic Proximal Femoral Physeal Fracture in Children: A Systematic Review and Case Report

Favorable Outcome Twenty-Two Months after Delbet Type Ib Capital Femoral Transepiphyseal Fracture and Posterior Column Acetabular Fracture in a Fifteen-Year-Old Male

Epidemiology and injury morphology of traumatic hip dislocations in children and adolescents in Germany: a multi-centre study

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