Traumatic Hip Dislocations in Children

Open reduction of late unreduced traumatic posterior hip dislocation in 12 children

“…Buchanan (1920) concluded that, while open reduction for an old dislocation was usually difficult and not altogether free of danger, it was the best management. Open reduction with a satisfactory outcome has been reported in only 2 children with neglected dislocation (Schlonsky andMiller 1973, Pai 1992). We have achieved an excellent functional outcome in 11/12 such cases.…”

“…We found reports of only 10 cases of unilateral and one with bilateral neglected dislocation (Pennsylvania Orthop. Society 1968, Schlonsky and Miller 1973, Gupta and Shravat 1977, Bunnell 1984, Pai 1992. However, it is not uncommon to see patients whose dislocations had remained unreduced until they were able to obtain access to doctors in developing countries like ours.…”

“…Traumatic dislocation of the hip in children is a rare injury (Pennsylvania Orthop. Society 1968, Schlonsky and Miller 1973, Floyd 1984. Of 1,842 traumatic hip dislocations reported in one series, only 3 occurred in children (Pennsylvania Orthop Society 1968).…”

Open anterior dislocation of the hip in a child

“…1968, Germaneau et al 1980, McFarlane 1935; and in only about 1 out of 10, the dislocation is anterior (Freeman 1961, Piggot 1961, Schlonsky & Miller 1973. I report a case of open anterior dislocation of the hip in a child that to my knowledge has never been described before.…”

Treatment and Results in Paediatric Traumatic Hip Dislocation: Case series and review of the literature

“…[12,14,19] The velocity of trauma, age at the time of injury, the interval between initial trauma and reduction, and fractured dislocation have been emphasized as predisposing factors in the development of AVN. [9,13,21,26] The possibility of AVN increases in older children…”