Traumatic Posterior Dislocation of the Hip in A 3 Year-Old Child

Abstract

Traumatic hip dislocation in children is an uncommon injury and constitutes an orthopaedic emergency. The case we present is a 3 year-old girl who dislocated her right hip posteriorly after her brother fell on her. The hip was promptly reduced with gentle manipulation and was immobilized with hip spica cast for 3 weeks. After removing the cast, protected weight-bearing was allowed for 3 weeks. Review at 6 months revealed normal examination and no evidence of avascular necrosis on radiograph. Most children have an excellent outcome after this injury. Avascular necrosis is a well-known and catastrophic complication of traumatic dislocation of the hip in children. Urgent reduction of the hip within 6 hours of injury reduces the risk of avascular necrosis.

Keywords

• Traumatic dislocation, hip, children

Traumatic Posterior Dislocation of the Hip in A 3 Year-Old Child

Öz

Çocuklarda travmatik kalça çıkığı nadir bir yaralanmadır ve ortopedik bir acildir. Sunduğumuz vaka, kardeşinin üzerine düşmesi sonrası sağ kalçada posteriyor çıkık oluşan 3 yaşında bir kız çocuğudur. Kalça nazik manipulasyonla hemen yerine oturtuldu ve 3 hafta süreyle alçı ile tespit edildi. Alçı çıkarıldıktan sonra 3 hafta korunarak yük vermeye izin verildi. Altıncı aydaki muayenesi normaldi ve röntgende avasküler nekroz bulgusu yoktu. Bu yaralanma sonrası çoğu çocuk mükemmel sonuca sahiptir. Avasküler nekroz, çocuklarda travmatik kalça çıkığının iyi bilinen ve çok kötü bir komplikasyonudur. Yaralanmadan sonraki ilk 6 saatte kalçanın acilen yerine konması avasküler nekroz riskini azaltır

Anahtar Kelimeler

• Travmatik çıkık, kalça, çocuklar

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