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

Kaynakça

1. Vemulapalli KK, Dey C, Peckham T, Paterson JMH. Traumatic hip dislocation in a 21-month-old child. Arch Orthop Trauma Surg 2005;125:490-2.
2. Coll GF, Del Rio LT, Nuno LG, Burniol JR, Carol RH. Traumatic hip dislocation in childhood. Hip Int 2010;20(04):524-8.
3. Zrig M, Mnıf H, Koubaa M, Abıd A. Traumatic hip disloca- tion in children. Acta Orthop Belg 2009;75,328-33.
4. Kutty S, Thornes B, Curtin WA, Gilmore MFX . Traumatic posterior dislocation of the hip in children. Pediatr Emerg Care 2001;17(1):32-5.
5. Forde JC, Khan KS, Awan N. Traumatic posterior disloca- tion of the hip in a 3-year-old child. Pediatr Emerg Care 2009;25:584-5.
6. Herrera-Soto JA, Price CT. Traumatic hip dislocations in children and adolescents: pitfalls and complications. J Am Acad Orthop Surg 2009;17:15-21.
7. Baker JF, Leonard M, Devitt BM, Queally JM, Noel J. Traumatic hip dislocation in a 3-year-old girl. Pediatr Emerg Care 2011;27:1178-9.
8. Vialle R, Odent T, Pannier S, Pauthier F, Laumonier F, Glorion C. Traumatic hip dislocation in childhood. J Pediatr Orthop 2005;25:138-44.

9. 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.
10. Hung NN. Traumatic hip dislocation in children. J Pediatr Orthop B 2012;21:542-51.