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Case Reports
. 2021 Feb 10:32:100418.
doi: 10.1016/j.tcr.2021.100418. eCollection 2021 Apr.

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

Rita Sapage  1 , Carlos Branco  1 , Rita Sousa  1 , Diogo Sousa  1 , Ricardo Branco  1 , António Lemos Lopes  1
Affiliations
Case Reports

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

Rita Sapage et al. Trauma Case Rep. .

Erratum in

Abstract

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.

Keywords: Child; Closed reduction; Hip; Magnetic resonance imaging; Traumatic dislocation.

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Figures

Fig. 1
Fig. 1
Clinical appearance at presentation.
Fig. 2
Fig. 2
Anteroposterior radiograph at presentation.
Fig. 3
Fig. 3
Fluoroscopy before reduction of the dislocation.
Fig. 4
Fig. 4
Anteroposterior (A) and lateral (B) radiographs post-reduction.
Fig. 5
Fig. 5
Anteroposterior radiograph at the time of the second dislocation.
Fig. 6
Fig. 6
Anteroposterior radiograph post-reduction of the second dislocation.
Fig. 7
Fig. 7
Axial (A, B) and coronal (C, D) views of T2-STIR magnetic resonance imaging.
Fig. 7
Fig. 7
Axial (A, B) and coronal (C, D) views of T2-STIR magnetic resonance imaging.
Fig. 8
Fig. 8
Active range of motion (A, internal rotation; B, external rotation; C, abduction) at 6 months post-second dislocation.
Fig. 9
Fig. 9
Anteroposterior radiograph at 6 months post-second dislocation.
Fig. 10
Fig. 10
Coronal (A) and axial (B) views of T2-SPAIR magnetic resonance imaging.
See this image and copyright information in PMC

References

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