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

Abstract

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.

Neglected subluxation of the hip after trauma: A case report

“…Traumatic hip dislocation in children is a rarely seen injury [ 1 , 2 ], and cases accompanied by acetabulum fracture are even more rare [ 3 ]. The majority of this injury is a consequence of high-energy trauma which includes motor vehicle accidents or falls from significant heights [ 3 ].…”

“…The majority of this injury is a consequence of high-energy trauma which includes motor vehicle accidents or falls from significant heights [ 3 ]. The symptoms are pain and inability to walk [ 1 ]. The typical deformities of posterior dislocation are flexion, adduction and internal rotation of the hip [ 1 ].…”

“…The symptoms are pain and inability to walk [ 1 ]. The typical deformities of posterior dislocation are flexion, adduction and internal rotation of the hip [ 1 ]. Good-quality X-ray evaluation is essential for confirming the diagnosis and revealing the type of dislocation [ 1 ].…”

“…The typical deformities of posterior dislocation are flexion, adduction and internal rotation of the hip [ 1 ]. Good-quality X-ray evaluation is essential for confirming the diagnosis and revealing the type of dislocation [ 1 ]. CT's use is growing because it is the best modality to assess the sacrum, sacroiliac joints and acetabulum [ 2 ].…”

“…MRI, on the other hand, is an important tool because it allows for assessment of the cartilage components of the immature pelvis [ 2 ]. In children, the pelvis contains a large amount of cartilage components [ 1 ]. Therefore, when traumatic hip dislocation spontaneously reduces, it can be impossible to see on X-ray or CT, which can delay detection.…”