Traumatic Hip Dislocation During Childhood. A Case Report and Review of the Literature

Sg, Petrie; Harris, Mary E.; Rb, Willis

doi:10.1097/01241398-199703000-00076

Cited by 5 publications

(1 citation statement)

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“…In adolescents, hip dislocations typically require a higher energy mechanism [ 2 ]. Anterior dislocation is particularly rare with posterior dislocations accounting for 90–95% of all cases [ 3 , 4 , 5 ] and with 4:1 male predominance [ 6 ]. Traumatic hip dislocations can be associated with early and late complications.…”

Section: Introductionmentioning

confidence: 99%

Anterior Hip Heterotopic Ossification after Traumatic Anterior Hip Dislocation in a Non-head Injured Pediatric Patient: A Case Report

Kimball¹,

Carlson²

2022

JOCR

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Introduction: Traumatic hip dislocation in pediatric patients is uncommon, with anterior dislocation being particularly rare. Heterotopic ossification (HO) is a rare complication, especially in the absence of concomitant head trauma. There are no reported cases of symptomatic anterior hip HO, after closed anterior dislocation, in the pediatric population. Case Report: We present a case of symptomatic anterior hip HO in a 14-year-old female after traumatic anterior hip dislocation without associated head trauma. After closed reduction, anterior hip HO matured over the course of 1 year and resulted in a near complete ankylosis of the hip joint. Surgical excision and prophylactic radiation therapy resulted in a satisfactory clinical outcome. Conclusion: Pediatric anterior hip dislocation, even in the absence of head trauma, can cause symptomatic HO to the extent of near ankylosis of the hip joint. This can be managed with surgical excision and prophylactic radiation, with satisfactory clinical results.

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Section: Introductionmentioning

confidence: 99%

Anterior Hip Heterotopic Ossification after Traumatic Anterior Hip Dislocation in a Non-head Injured Pediatric Patient: A Case Report

Kimball¹,

Carlson²

2022

JOCR

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Traumatic dislocation of hip joint following low-velocity trauma, similarities to glenohumeral instability

Mofidi

Sankar

Kutty

et al. 2002

Eur J Orthop Surg Traumatol

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Acute posterior hip dislocation following low velocity trauma in a young healthy adult is a rare injury. Almost 30 cases previously have been described in the literature. They are usually associated with prior trauma to the hip joint and will lead to recurrent instability after relocation. This injury is similar to shoulder instability: lesions and anomalies present in the hip joint with posterior instability are identical to the ones in the shoulder with instability. These are Bankart-like lesion of the posterior labrum, defect in ischiofemoral ligament similar to inferior glenohumeral ligament laxity of the shoulder, relative retroversion of femoral neck angle similar to loss of retroversion of the humeral neck and, finally, Pipkin type 1 fracture of the femoral head resembling a Hill-Sachs lesion of the humeral head. Successful treatment of this injury depends on addressing these pathologies. We present three cases of acute posterior hip dislocation in young adults after low-energy trauma, which presented to our unit over a 4-year period, and a review of another 21 cases of similar injury previously described in the literature. We will demonstrate these lesions and discuss the investigation and treatment modalities for posterior instability of the hip joint. We conclude that hip dislocation caused by low-energy trauma must be investigated and treated to avoid recurrence of dislocation and associated complications.

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Traumatic Posterior Dislocation of the Hip in Children:report on Five Cases

Brandão

Américo²,

Soares³

et al. 2010

Revista Brasileira de Ortopedia (English Edition)

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Objective: To evaluate a series of cases of traumatic posterior dislocations in children, with the treatment and results, and to review issues relating to the epidemiology, clinical and radiographic diagnosis, treatment, complications and prognosis of such cases. Methods: Five patients with traumatic hip dislocation, with a mean age of 4.6 ± 0.9 years and a follow-up period of 19.8 ± 7.0 months, were evaluated retrospectively. The time elapsed between dislocation and reduction, the type of treatment, the associated injuries and the subsequent complications were evaluated. Results: The initial treatment was closed reduction, which was performed on average 5.2 ± 3.6 hours after the initial trauma. All the patients underwent the reduction under anesthesia. The complementary treatment included plaster cast immobilization and traction. No need for additional surgery was observed and there were no long-term side effects. Conclusion: Traumatic dislocation of the hip should be treated quickly by means of closed reduction, with appropriate control over the reduction and rigorous observation in order to diagnose and treat late complications.

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Traumatic Hip Dislocation During Childhood. A Case Report and Review of the Literature

Cited by 5 publications

References 0 publications

Anterior Hip Heterotopic Ossification after Traumatic Anterior Hip Dislocation in a Non-head Injured Pediatric Patient: A Case Report

Anterior Hip Heterotopic Ossification after Traumatic Anterior Hip Dislocation in a Non-head Injured Pediatric Patient: A Case Report

Traumatic dislocation of hip joint following low-velocity trauma, similarities to glenohumeral instability

Traumatic Posterior Dislocation of the Hip in Children:report on Five Cases

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