Chanes PC, Soria VL, Mihai PA, García JA, Gabriele MR, Terricabras CL

Language: Spanish
References: 15
Page: 206-213
PDF size: 216.27 Kb.

ABSTRACT

Introduction: traumatic hip dislocation in a pediatric patient is a rare injury. There is no consensus on the optimal management in its emergency and follow-up.
Case report: the case of a 4 year-old boy who suffered a traumatic dislocation of the right hip while skiing is reported. He received conservative treatment consisting of closed reduction and with no further immobilization. A review of the literature on this traumatic injury, treatment and follow-up was performed. The differential characteristics of the above entity in the adult population are mentioned.
Results: in the present case, the results were very satisfactory, since the patient had complete functional recovery with same level of life that he had before the dislocation.
Conclusion: traumatic hip dislocation in pediatric population is rare. However, given the importance of its reduction as soon as possible in order to avoid further complications such as avascular osteonecrosis, diagnosis and treatment is necessary as early as possible. There is no consensus, however, as to the optimal treatment and monitoring of the condition after an acute episode is solved.

REFERENCES

1. Rockwood A, Green DP. Fractures in adults. 3rd edition. Philadelphia: JB Lippincott Company; 1991. Chapter 18, p.1574-1625.

2. Burgos J, Gonzalez-Herranz P, Ocete G. Traumatic hip dislocation with incomplete reduction due to soft-tissue interposition in a 4-year-old boy. J Pediatr Orthop B. 1995;4:216-8.

3. Rockwood W. Fractures in children. 3rd edition. Philadelphia: JB Lippincott Company. 1991. Chapter 9, p.1093-1116.

4. Barquet A. Traumatic anterior dislocation of the hip in childhood. Injury. 1982;13:435-40.

5. Rieger H, Pennig D, Klein W, Grünert J. Traumatic dislocation of the hip in young children. Arch Orthop Trauma Surg. 1991;110:114-7.

6. Mc Farlane IJM. Survey of traumatic dislocation of the hip in children. J Bone Joint Surgery. 1976;58B:267.

7. Kutty S, Thornes B, Curtin WA, Gilmore MF. Traumatic posterior dislocation of hip in children. Pediatr Emerg Care. 2001;17:32-5.

8. Mehlman CT, Hubbard GW, Crawford AH, Roy DR, Wall EJ. Traumatic hip dislocation in children. Long-term follow up of 42 patients. Clin Orthop Relat Res. 2000;(376):68-79.

9. Herrera-Soto JA, Price CT. Traumatic hip dislocations in children and adolescents: pitfalls and complications. J Am Acad Orthop Surg. 2009 Jan.;17(1):15-21.

10. Vialle R, Pannier S, Odent T, Schmit P, Pauthier F, Glorion C. Pediatr Radiol. Imaging of traumatic dislocation of the hip in childhood. 2004;34(12):970-9.

11. Pearson DE, Mann RJ. Traumatic hip dislocation in children. Clin Orthop Relat Res. 1973;92:189-94.

12. Hougaard K, Thomsen PB. Traumatic hip dislocation in children. Follow up of 13 cases. Orthopedics. 1989;12:375-8.

13. Casado-Salinas JM, Llamas-Elvira JM, Lorente-Moreno R, Nogales-Zafra J, Gala- Velasco M. Traumatic hip luxation associated with ipsilateral and contralateral femoral fracture in a child. Acta Orthopaedica Bélgica. 1989;55:2.

14. Salisbury RD, Eastwood DM. Traumatic dislocation of the hip in children. Clin Orthop Relat Res. 2000;377:106-11.

15. Nirmal Kumar J, Hazra S, Yun HH. Redislocation after treatment of traumatic dislocation of hip in children: a report of two cases and literature review. Arch Orthop Trauma Surg. 2009;129:823-6.