Email this article Traumatic bilateral posterior hip dislocation in children. A 12 years follow up case report
- Authors: Soto-Juárez I.1, Martínez-Pérez R.1
-
Affiliations:
- Centenario Hospital Miguel Hidalgo
- Issue: Vol 8, No 2 (2020)
- Pages: 213-216
- Section: Clinical cases
- URL: https://bakhtiniada.ru/turner/article/view/16543
- DOI: https://doi.org/10.17816/PTORS16543
- ID: 16543
Cite item
Open Access
Access granted
Subscription Access
Abstract
Background. Bilateral traumatic hip dislocation in children is a very rare orthopedic emergency. Few case reports are available in literature.
Clinical case. A 4-year-old male child case with a trivial mechanism of injury is presented. Closed reduction in emergency department was achieved after 24 hours of injury, he was placed on Buck’s skin traction for 4 days and during 4 weeks in a spica cast. There was not either clinical sign nor images of early or late complications during follow up until he reached skeletal maturity.
Discussion. Hip dislocation in children is a rare emergency with an incidence of 0.8 cases per million per year, its treatment should not be delayed to minimize late complications such as osteonecrosis, recurrent dislocations, osteoarthritis, neurological lesions, coxa magna and heterotopic ossification. The reported incidence for hip osteonecrosis is 36.4% for late (>6 hours) and 8.2% after early (<6 hours) reduction. After 12 years of follow up no complication was found although the reduction was made 24 hours later.
Conclusions. After immediate reduction a 4 to 6 weeks immobilization period is an effective treatment. Close monitoring to timely identify and treat any further complication is mandatory.
Full Text
##article.viewOnOriginalSite##About the authors
Ignacio Soto-Juárez
Centenario Hospital Miguel Hidalgo
Email: ignaciosotojuarez@hotmail.com
ORCID iD: 0000-0001-8001-9227
MD, Orthopaedic and Trauma Surgeon, Pelvis and acetabulum specialist. Orthopaedics and Trauma Department
Mexico, AguascalientesRicardo Martínez-Pérez
Centenario Hospital Miguel Hidalgo
Author for correspondence.
Email: ortho.surgery.martinez@gmail.com
ORCID iD: 0000-0003-4386-1946
MD, Orthopaedic Surgery resident. Orthopaedics and Trauma Department
Mexico, AguascalientesReferences
- Mootha AK, Mogali KV. A rare case of neglected traumatic anterior dislocation of hip in a child. J Orthop Case Rep. 2016;6(3):40-42. https://doi.org/10.13107/jocr.2250-0685.496.
- Stracciolini A, Yen YM, d’Hemecourt PA, et al. Sex and growth effect on pediatric hip injuries presenting to sports medicine clinic. J Pediatr Orthop B. 2016;25(4):315-321. https://doi.org/10.1097/BPB.0000000000000315.
- Sanders S, Tejwani N, Egol KA. Traumatic hip dislocation: a review. Bull NYU Hosp Jt Dis. 2010;68(2):91-96.
- Herrera-Soto JA, Price CT. Traumatic hip dislocations in children and adolescents: pitfalls and complications. J Am Acad Orthop Surg. 2009;17(1):15-21. https://doi.org/10.5435/00124635-200901000-00003.
- Garg V, Singh AP, Singh AP, Bajaj PS. Traumatic bilateral posterior hip dislocation in 10 year old male child. J Clin Orthop Trauma. 2014;5(3):154-156. https://doi.org/10.1016/j.jcot.2014.07.006.
- Sahin V, Karakas E, Turk, CY. Bilateral traumatic hip dislocation in a child: a case report and review of the literature. J Trauma. 1999;46(3):500-504. https://doi.org/10.1097/00005373-199903000-00028.
- Endo S, Yamada Y, Fujii N, et al. Bilateral traumatic hip dislocation in a child. Arch Orthop Trauma Surg. 1993;112(3):155-156. https://doi.org/10.1007/bf00449995.
- Bunell WP, Wesbster DA. Late reduction of bilateral traumatic hip dislocations in a child. Clin Orthop Relat Res. 1980;(147):160-163.
- Bernhang AM. Simultaneous bilateral traumatic dislocation of the hip in a child. J Bone Joint Surg Am. 1970;52(2):365-356.
- Mehlman CT, Hubbard GW, Crawford AH, et al. Traumatic hip dislocation in children long-term followup of 42 patients. Clin Orthop Relat Res. 2000;(376):68-79.
- Ahmed G, Shiraz S, Riaz M, Ibrahim T. Late versus early reduction in traumatic hip dislocations: a meta-analysis. Eur J Orthop Surg Traumatol. 2017;27(8):1109-1116. https://doi.org/10.1007/s00590-017-1988-7.
- Hung NN. Traumatic hip dislocation in children. J Pediatr Orthop B. 2012;21(6):542-551. https://doi.org/10.1097/BPB.0b013e328356371b.
- Glass A, Powell HDW. Traumatic dislocation of the hip in children. J Bone Joint Surg Br. 1961;43-B(1):29-37. https://doi.org/10.1302/0301-620x.43b1.29.
- Yaokreh JB, Serges YG, Ouattara O, Dick R. Bilateral traumatic symmetric posterior hip dislocation in a teenager. J Trauma Treat. 2016,5:280. https://doi.org/10.4172/2167-1222.1000280.
Supplementary files
