2008, Number 5
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Acta Ortop Mex 2008; 22 (5)
Voluntary dislocation of the hip. Report of two cases
Fuentes NMA, Sevilla GMA, Sierra CR
Language: Spanish
References: 11
Page: 329-334
PDF size: 155.95 Kb.
ABSTRACT
Case reports. Case 1: We present a 5 year-old female patient with ligament laxity who started on August 1992 at 4 years of age when doing voluntary medial rotation and adduction of the hip, she presents with a posterior dislocation of the hip joint and voluntary reduction, with no more clinical data. Later on she realizes voluntary dislocation of the hip from three to five times a week, without pain or any clinical findings. She was evaluated by the genetics department who isn’t able to integrate a syndrome. X-ray findings on the AP view show a right hip with a posterior dislocation, and a normal left hip. Case 2: We present a 7 year-old male patient who started on August 2001 when he suffered a fall from his own height over his right side, and presented an asymptomatic anterior dislocation of the right hip. From this moment on he presented multiple events of involuntary dislocation of the right hip. X-ray findings on the AP view show an anterior dislocation of the right hip. A Ponseti cast was used over night and the patients were educated to not dislocate the hip. They received yearly follow up until August 2004, with no more dislocations of the hip joint. The conservative treatment plan was effective as a definite treatment.
REFERENCES
Hensley C, Schofield G: Recurrent dislocation of the hip. The Journal of Bone and Joint Surgery 1969; (51-A): 573-7.
Beaty J, Sloan M: Recurrent voluntary anterior dislocation of the hip: case report and review of the literature. Journal of Pediatric Orthopaedics 1989; (9): 331-4.
Packer J, Lefkowitz L, Ryder Ch: Habitual dislocation of the hip treated by innominate osteotomy. Clinical Orthopaedics and Related Reserch 1972; (83): 1884-9.
Haddad R, Drez D: Voluntary recurrent anterior dislocation of the hip. The Journal of Bone and Joint Surgery 1974; (56): 419-22.
Arnold S, Broudy M, Richard D: Voluntary posterior hip dislocation in children. The Journal of Bone Joint Surgery 1975; 57-A (5): 716-7.
Roberts J, Taylor J, Burk S: Recurrent dislocation of the hip in congenital indifference to pain. Case report with arthrographic and operative findings. The Journal of Bone and Joint Surgery, Incorporated 1980, 62-A (5): 829-31.
Ahmadi B, Harkess J: Habitual dislocation of hip. Clinical Orthopaedics and Related Research 1983; (175): 209-12.
Goldberg M, Rousso M, Peath T: Voluntary habitual dislocation of the hip: a case report with follow-up by computed tomography. The Journal of Bone and Joint Surgery 1984; 66-A (7): 1117-9.
Iwamoto, et al: Voluntary dislocation of both hips in a child. International Orthopaedics 1989; (13): 283-5.
Moon M, Sun D, Moon Y: Habitual voluntary dislocation of the hip in a child. International Orthopaedics 1996; (20): 330-2.
Domínguez J, Sierra O, Fregoso M, López E, Aburto J: Luxación habitual de la cadera, reporte de un caso y revisión de la literatura. Acta Ortopédica Mexicana 2002; 16(6): 325-9.