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Recurrent traumatic hip dislocation in an 8-year-old boy

Pediatric traumatic hip dislocations (PTHD) are rare and represent around 5% of all pediatric dislocations. Associated bony or soft tissue injury can occur as often as 17%–25% of the time. We report a case of an 8-year-old boy presenting a posterior hip dislocation after a low-energy trauma, which w...

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Autores principales: Sapage, Rita, Branco, Carlos, Sousa, Rita, Sousa, Diogo, Branco, Ricardo, Lopes, António Lemos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900766/
https://www.ncbi.nlm.nih.gov/pubmed/33665312
http://dx.doi.org/10.1016/j.tcr.2021.100418
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author Sapage, Rita
Branco, Carlos
Sousa, Rita
Sousa, Diogo
Branco, Ricardo
Lopes, António Lemos
author_facet Sapage, Rita
Branco, Carlos
Sousa, Rita
Sousa, Diogo
Branco, Ricardo
Lopes, António Lemos
author_sort Sapage, Rita
collection PubMed
description Pediatric traumatic hip dislocations (PTHD) are rare and represent around 5% of all pediatric dislocations. Associated bony or soft tissue injury can occur as often as 17%–25% of the time. We report a case of an 8-year-old boy presenting a posterior hip dislocation after a low-energy trauma, which was initially managed with closed reduction and bed rest for 1 week. Two days after hospital discharge, he suffered a recurrent posterior hip dislocation. He was now managed with 4 weeks of bed rest and lower limb skin traction followed by 1 week of no weight-bearing on crutches. With 6 months of follow-up, he is asymptomatic, walking autonomously, with complete and painless range of motion of the affected hip and no major radiographic changes. Pediatric traumatic hip dislocation is a rare and challenging injury that should be managed promptly. Currently, there is no protocol concerning treatment in the literature and its largely dependent of patient and parents' cooperation.
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spelling pubmed-79007662021-03-03 Recurrent traumatic hip dislocation in an 8-year-old boy Sapage, Rita Branco, Carlos Sousa, Rita Sousa, Diogo Branco, Ricardo Lopes, António Lemos Trauma Case Rep Case Report Pediatric traumatic hip dislocations (PTHD) are rare and represent around 5% of all pediatric dislocations. Associated bony or soft tissue injury can occur as often as 17%–25% of the time. We report a case of an 8-year-old boy presenting a posterior hip dislocation after a low-energy trauma, which was initially managed with closed reduction and bed rest for 1 week. Two days after hospital discharge, he suffered a recurrent posterior hip dislocation. He was now managed with 4 weeks of bed rest and lower limb skin traction followed by 1 week of no weight-bearing on crutches. With 6 months of follow-up, he is asymptomatic, walking autonomously, with complete and painless range of motion of the affected hip and no major radiographic changes. Pediatric traumatic hip dislocation is a rare and challenging injury that should be managed promptly. Currently, there is no protocol concerning treatment in the literature and its largely dependent of patient and parents' cooperation. Elsevier 2021-02-10 /pmc/articles/PMC7900766/ /pubmed/33665312 http://dx.doi.org/10.1016/j.tcr.2021.100418 Text en © 2021 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sapage, Rita
Branco, Carlos
Sousa, Rita
Sousa, Diogo
Branco, Ricardo
Lopes, António Lemos
Recurrent traumatic hip dislocation in an 8-year-old boy
title Recurrent traumatic hip dislocation in an 8-year-old boy
title_full Recurrent traumatic hip dislocation in an 8-year-old boy
title_fullStr Recurrent traumatic hip dislocation in an 8-year-old boy
title_full_unstemmed Recurrent traumatic hip dislocation in an 8-year-old boy
title_short Recurrent traumatic hip dislocation in an 8-year-old boy
title_sort recurrent traumatic hip dislocation in an 8-year-old boy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900766/
https://www.ncbi.nlm.nih.gov/pubmed/33665312
http://dx.doi.org/10.1016/j.tcr.2021.100418
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