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【Abstract】Hip dislocation in children can occur course and follow-up assessment of the patient was other-
congenitally in isolation or in conjunction with other con- wise uneventful. At 2 years’ follow-up there was no evi-
genital abnormalities. Traumatic hip dislocations in children dence of osteoarthritis, coxa magna, heterotrophic
are relatively uncommon and anterior dislocation of hip joint calcification, in congruency of the joints or avascular ne-
is even rarer. We report such a case following unusual mode crosis of the head of femur.
of injury in a 12-year-old child. The patient underwent suc- Key words: Hip; Dislocations; Child
cessful emergent closed reduction of left hip. The clinical
Chin J Traumatol 2013;16(2):122-125
P
ediatric hip can be commonly congenitally dis- Helsinki revised in 2000.
located in isolation or in conjunction with other
congenital abnormalities such as Down CASE REPORT
syndrome, Ehlers-Danlos syndrome, Weaver syndrome,
Prader-Willi syndrome etc.1-6 Traumatic dislocation of A 12-year-old boy fell while catching kites from stairs
the hip is a presentation most associated with adult and got his left foot entangled in the staircase causing
patients involved in high-energy trauma. Traumatic hip hyperabduction injury to left lower limb. After being ad-
dislocation in children is relatively uncommon and an- mitted to casualty, on clinical examination he was fully
terior dislocation of the hip joint is even rarer. In adults conscious and orientated. The vital signs and exami-
a significant amount of force is required to disrupt the nation of the head and neck, chest, abdomen and spine
tough ligamentous capsule that contributes stability to were normal. His left hip was abducted, flexed and ex-
the most stable joint in the body. However, a much ternally rotated (Figure 1). Distal circulation and neu-
lower energy is required for dislocation of the hip in rology in both lower limbs were normal as well. There
children. We report such a case following unusual mode were minor abrasions over the left foot. There was no
of injury in a 12-year-old child without any associated history of previous dislocations or joint laxity. Clinico-
injuries or comorbid condition. radiological examination was not suggestive of any fea-
ture of developmental dysplasia of the hip, but showed
The informed consent was taken prior to being in- hip dislocation with the femoral head displaced
cluded into the study. The study was authorized by the anteroinferiorly on the left side (Figure 2). There was no
local ethical committee and performed in accordance associated fracture of the acetabulum or femur.
with the Ethical standards of the 1964 Declaration of
The hip was reduced under emergency intravenous
DOI: 10.3760/cma.j.issn.1008-1275.2013.02.012 sedation within two hours of the injury. The left hip was
Department of Orthopaedics, Fortis Healthcare, Mohali, reduced with in-line traction and support of the pelvis
India (Gupta V, Kaplia A) with a laterally directed force at the proximal femur.
Department of Emergency Medicine, Dayanand Medi- After reduction, the left hip was noted to be stable
cal College & Hospital, Ludhiana, India (Kaur M) throughout a physiologic range of motion. The post-
Department of Orthopaedics, Pandit Bhagwat Dayal
reduction radiographs showed the hips in anatomical
Sharma Post Graduate Institute of Medical Sciences,
Rohtak, India (Kundu ZS) position (Figure 3). Post-reduction neurological exami-
Department of Orthopaedics, Maharishi Markande- nation did not demonstrate any motor weakness or loss
shwar Medical College & Hospital, Kumarhatti Solan, of sensation.
Himachal Pradesh, India (Singh D)
*Corresponding author: Tel: 91-9996193439, Email: The patient was kept on skin traction for two weeks
drvinaygupta15@yahoo.co.in
Chinese Journal of Traumatology 2013;16(2):122-125 . 123 .
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