Superolateral Dislocation in a Pediatric Hip Associated with Labrum Entrapment and Overgrowth of the Ischial Part of the Acetabulum

Abstract

We describe a child who had old unreduced traumatic hip dislocation associated with overgrowth of the ischial part of the acetabulum and interposition of the labrum. Open reduction was performed, and overgrowth part of the ischium and interposed labrum were excised for obtaining a concentric reduction of the hip joint. At the three-year follow-up visit, result was excellent. ©2006, Fırat Üniversitesi, Tıp Fakültesi

Keywords

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Çocuk Süperolateral Kalça Çıkığı ile Beraber Labrum İnterpozisyonu ve Asetabulumun İskial Parçasının Aşırı Büyümesi: Olgu Sunumu

Abstract

Travmatik kalça çıkığı gelişen bir çocuk olguda, tam redüksiyonu engelleyen oluşumlar olarak labrum interpozisyonu ve asetabulumun iskial parçasının aşırı büyümesi saptandı. Olguya açık redüksiyon yapıldı, interpoze labrum parçası eksize edildi ve aşırı büyümüş olan asetabulumun iskial kısmı inceltildi. Ameliyat sonrası 3. yıldaki kontrolde redüksiyon tamdı ve fonksiyonel sonuç mükemmeldi. ©2006, Fırat Üniversitesi, Tıp Fakültesi

Keywords

• Travmatik kalça çıkığı, çocuk, tam redüksiyon, labrum, iskium

References

1. Cinats JG, Moreu MJ, Swersky JF. Traumatic dislocation of the hip caused by capsular interposition in a child. A case report. J Bone Joint Surg Am 1988; 70: 130-3.
2. Gennari JM, Merrot T, Bergoin V, Turcat Y, Bergoin M. X-ray transparency interpositions after reduction of traumatic dislocations of the hip in children. Eur J Pediatr Surg 1996; 6: 288-93.
3. Hamilton PR, Broughton NS. Traumatic hip dislocation in childhood. J Pediatr Orthop 1998; 18: 691-4.
4. Price CT, Pyevich MT, Knapp DR, Phillips JH, Hawker JJ. Traumatic hip dislocation with spontaneous incomplete reduction: a diagnostic trap. J Orthop Trauma 2002; 16:730-5.
5. Rieger H, Pennig D, Klein W, Grunert J. Traumatic dislocation of the hip in young children. Arch Orthop Trauma Surg 1991; 110: 114-7.
6. Olsson O, Landin LA, Johansson A. Traumatic hip dislocation with spontaneous reduction and capsular interposition. A report of 2 children. Acta Orthop Scand 1994; 65: 476-9.
7. Shea KP, Kalamchi A, Thompson GH. Acetabular epiphysis- labrum entrapment following traumatic anterior dislocation of the hip in children. J Pediatr Orthop 1986; 6: 215-9.
8. Blaiser RD, Hughes LO. Fractures and traumatic dislocations of the hip in children. In: Beaty JH, Kasser JR, editors. Fractures in Children. Lippincott Williams & Wilkins; 2001. p 913-939.

9. Kumar S, Jain AK. Open reduction of late unreduced traumatic posterior hip dislocation in 12 children. Acta Orthop Scand 1999; 70: 599-602.
10. Burgos J, Gonzales-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: 216-218.
11. Kabul Tarihi: 18.04.2006