Hip Pelvis.  2013 Jun;25(2):141-144. 10.5371/hp.2013.25.2.141.

Traumatic Hip Dislocation in a Three-year-old Child: A Case Report

• Cho MR
• Chang HJ
• Kim MS

• KMID: 2054152
• DOI: http://doi.org/10.5371/hp.2013.25.2.141

Abstract

Traumatic hip dislocation is relatively rare in children and it should be reduced rapidly as that in adults. Evaluation of injuries of the cartilage, labrum, and soft tissue around the hip joint, and continuous follow-up for detection of development of complications is necessary. We report on an unusual case of a three-year-old child with traumatic hip dislocation treated with closed reduction and bed rest without immobilization.

Keyword

Children; Traumatic hip dislocation; Closed reduction

MeSH Terms

Adult
Bed Rest
Cartilage
Child
Follow-Up Studies
Hip
Hip Dislocation
Hip Joint
Humans
Immobilization

Figure

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  Fig. 1 (A) Plain radiograph of 3-years-old male shows the femoral head located lateral and superior to Acetabulum. (B) After closed reduction, the femoral head is located in acetabulum.

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  Fig. 2 T2-weighted MR image shows partial rupture of piriformis muscle and fluid collection around it.

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  Fig. 3 Radiograph at 4 months after trauma shows heterotopic bone formed in gluteus medius muscle. (Brooker classification type I).

Reference

1. Barquet A. A vascular necrosis following traumatic hip dislocation in childhood: factors of influence. Acta Orthop Scand. 1982; 53:809–813.

2. Mehlman CT, Hubbard GW, Crawford AH, Roy DR, Wall EJ. Traumatic hip dislocation in children. Long-term followup of 42 patients. Clin Orthop Relat Res. 2000; 68–79.

3. Vialle R, Odent T, Pannier S, Pauthier F, Laumonier F, Glorion C. Traumatic hip dislocation in childhood. J Pediatr Orthop. 2005; 25:138–144.

4. Herrera-Soto JA, Price CT, Reuss BL, Riley P, Kasser JR, Beaty JH. Proximal femoral epiphysiolysis during reduction of hip dislocation in adolescents. J Pediatr Orthop. 2006; 26:371–374.

5. Odent T, Glorion C, Pannier S, Bronfen C, Langlais J, Pouliquen JC. Traumatic dislocation of the hip with separation of the capital epiphysis: 5 adolescent patients with 3-9 years of follow-up. Acta Orthop Scand. 2003; 74:49–52.

6. Kutty S, Thornes B, Curtin WA, Gilmore MF. Traumatic posterior dislocation of hip in children. Pediatr Emerg Care. 2001; 17:32–35.

7. Sprong F, Snyckers C. Traumatic hip dislocation in children: the role of MRI. SA Orthop J. 2010; 9:78–82.

8. Herrera-Soto JA, Price CT. Traumatic hip dislocations in children and adolescents: pitfalls and complications. J Am Acad Orthop Surg. 2009; 17:15–21.

9. Yun HH, Ahn GY, Nam IH, Moon GH, Kim HG, Kim JC. Traumatic hip dislocation in children: case report. J Korean Hip Soc. 2006; 18:498–502.

10. Vialle R, Pannier S, Odent T, Schmit P, Pauthier F, Glorion C. Imaging of traumatic dislocation of the hip in childhood. Pediatr Radiol. 2004; 34:970–979.

11. Hougaard K, Thomsen PB. Traumatic posterior dislocation of the hip--prognostic factors influencing the incidence of avascular necrosis of the femoral head. Arch Orthop Trauma Surg. 1986; 106:32–35.

12. Herrera-Soto JA, Price CT. Traumatic hip dislocations in children and adolescents: pitfalls and complications. J Am Acad Orthop Surg. 2009; 17:15–21.

13. Muratli HH, Dağli C, Biçimoğlu A, Tabak AY. Recurrent traumatic hip dislocation in a child. Acta Orthop Traumatol Turc. 2004; 38:149–153.

14. Barquet A. Recurrent traumatic dislocation of the hip in childhood. J Trauma. 1980; 20:1003–1006.

15. Wilchinsky ME, Pappas AM. Unusual complications in traumatic dislocation of the hip in children. J Pediatr Orthop. 1985; 5:534–539.

16. Cornwall R, Radomisli TE. Nerve injury in traumatic dislocation of the hip. Clin Orthop Relat Res. 2000; 84–91.