Neglected Traumatic Posterior Hip Dislocation In a 4-Years-Old Child: A Case Report
DOI:
https://doi.org/10.31282/joti.v4n3.82Keywords:
Neglected, Traumatic, Posterior Hip Dislocation, Children, Case ReportAbstract
Abstract
Introduction: Traumatic hip dislocation in young children is relatively rare. Low energy mechanisms of injuries such as trivial falls and slips are the usual causes, especially in the young age group (<5 years). Long-term complications may arise, especially if the hip dislocation is neglected. The reduction of a hip dislocation that has been neglected becomes more difficult over time.
Case Report: We present a 4-year-old boy with neglected traumatic posterior hip dislocation after falling from a parked motorcycle two weeks before admission. The posterior hip dislocation was diagnosed by physical examination and X-Ray. There was no disturbance in both the neurological and vascular status of the patient. The dislocation was reduced by closed reduction using Ailis maneuver.
Results: Post reduction radiograph using X-ray showed a concentric reduction, and six weeks of immobilization using hip spica was initiated afterward. The patient showed normal gait and painless range of hip movement without complications at two months follow-up.
Downloads
References
References
Herring JA. Tachdjian’s pediatric orthopedics: from texas scottish rite hospital for children. 6th ed. Vol 2. Philadelphia, PA: Elsevier. 2022:1294-303.
Meena et al. Traumatic posterior hip dislocation in a 16-month-old child: A case report and review of literature. Chinese J Traumatol- English Ed. 2012;15(6):382–4.
Bressan S, Steiner IP, Shavit I. Emergency department diagnosis and treatment of traumatic hip dislocations in children under the age of 7 years: A 10-year review. Emerg Med J. 2014;31(5):425–31.
Van de VA et al. Posterior Hip Dislocation in Children: A Mild Traumatic Event. Case Report and Review of Literature. Orthop Res Online J. 2018;4(5):436-9.
Garrett JC, Epstein HC. Harris WH. Treatment of unreduced traumatic posterior dislocation of the hip. J Bone Joint Surg Am. 1979;61(1):2–6.
Prakash et al. Neglected Posterior Dislocation of Hip in Children-A Case Report. J Orthop Case Reports. 2014;4(2):21–4.
Miltner LJ,Wan FE. Old traumatic dislocations of the hip with reference to operative treatment. Surg Gynec Obst. 1933:56, 84.
Başaran et al. Treatment and results in pediatric traumatic hip dislocation: Case series and review of the literature. Ulus Travma Acil Cerrahi Derg. 2014;20(6):437–42.
Furuya et al. Traumatic Dislocation of the Hip in a Child Caused by Trivial Force for Age. Case Rep Orthop. 2014;2014:1–4.
Pai VS, Kumar B. Management of unreduced traumatic posterior dislocation of the hip: heavy traction and abduction method. 1990;21(4):225–7.
Clausen et al. A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature. Case Rep Orthop. 2020;2020:1-6.
Hung NN. Traumatic hip dislocation in children. J Pediatr Orthop Part B. 2012;21(6):542–51.
Lahfaoui M. Traumatic dislocations of the hip in children About 11 cases and literature review. J Surg Surg Res. 2020;6(1):022–6.
Baidoo KP, Adegah B. Delayed diagnosis of traumatic posterior hip dislocation in a 6-year-old girl with 6 years follow up: a case report. Int Surg J. 2017;4(10):3511-4.
Mehlman et al. Traumatic hip dislocation in children. Long-term follow-up of 42 patients. Clin Orthop Relat Res. 2000;(376):68-79.