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A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature

We present a rare case of neglected hip dislocation in a 3-year-old boy. Hip dislocations in childhood represent less than 6% of all injuries. The boy presented to the ED with ongoing hip pain after his leg got stuck in a carousel. The physical and radiologic examination revealed a posterior right h...

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Autores principales: Clausen, Jan-Dierk, Winkelmann, Marcel, Macke, Christian, Mommsen, Philipp, Krettek, Christian, Brand, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085349/
https://www.ncbi.nlm.nih.gov/pubmed/32231831
http://dx.doi.org/10.1155/2020/7560392
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author Clausen, Jan-Dierk
Winkelmann, Marcel
Macke, Christian
Mommsen, Philipp
Krettek, Christian
Brand, Stephan
author_facet Clausen, Jan-Dierk
Winkelmann, Marcel
Macke, Christian
Mommsen, Philipp
Krettek, Christian
Brand, Stephan
author_sort Clausen, Jan-Dierk
collection PubMed
description We present a rare case of neglected hip dislocation in a 3-year-old boy. Hip dislocations in childhood represent less than 6% of all injuries. The boy presented to the ED with ongoing hip pain after his leg got stuck in a carousel. The physical and radiologic examination revealed a posterior right hip dislocation. The closed reduction failed, so open reduction during surgery was performed. The postoperative protocol included 3 days of immobilization with early mobilization and pain-adapted weight bearing. No signs of femoral head malperfusion occurred 2 months after the injury. The patient did not complain of any limitations such as weight bearing problems or loss of range of motion. In comparison to adults, there are several specialties such as the fact that minor trauma can lead to hip dislocations due to the laxity of the ligaments, and due to the limited direct anamnestic options, neglected hip dislocations can occur. The treatment should focus on immediate proper reduction. The main complications after traumatic hip dislocation are avascular necrosis of the femoral head, redislocation, and early osteoarthritis.
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spelling pubmed-70853492020-03-30 A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature Clausen, Jan-Dierk Winkelmann, Marcel Macke, Christian Mommsen, Philipp Krettek, Christian Brand, Stephan Case Rep Orthop Case Report We present a rare case of neglected hip dislocation in a 3-year-old boy. Hip dislocations in childhood represent less than 6% of all injuries. The boy presented to the ED with ongoing hip pain after his leg got stuck in a carousel. The physical and radiologic examination revealed a posterior right hip dislocation. The closed reduction failed, so open reduction during surgery was performed. The postoperative protocol included 3 days of immobilization with early mobilization and pain-adapted weight bearing. No signs of femoral head malperfusion occurred 2 months after the injury. The patient did not complain of any limitations such as weight bearing problems or loss of range of motion. In comparison to adults, there are several specialties such as the fact that minor trauma can lead to hip dislocations due to the laxity of the ligaments, and due to the limited direct anamnestic options, neglected hip dislocations can occur. The treatment should focus on immediate proper reduction. The main complications after traumatic hip dislocation are avascular necrosis of the femoral head, redislocation, and early osteoarthritis. Hindawi 2020-03-09 /pmc/articles/PMC7085349/ /pubmed/32231831 http://dx.doi.org/10.1155/2020/7560392 Text en Copyright © 2020 Jan-Dierk Clausen et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Clausen, Jan-Dierk
Winkelmann, Marcel
Macke, Christian
Mommsen, Philipp
Krettek, Christian
Brand, Stephan
A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature
title A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature
title_full A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature
title_fullStr A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature
title_full_unstemmed A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature
title_short A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature
title_sort rare case of a traumatic posterior hip dislocation in a 3-year-old boy: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085349/
https://www.ncbi.nlm.nih.gov/pubmed/32231831
http://dx.doi.org/10.1155/2020/7560392
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