Emergency Physician Reduction of Pediatric Hip Dislocation
Traumatic hip dislocation in children is relatively rare but presents a true emergency, as a delay in reduction can result in avascular necrosis of the femoral head and long-term morbidity. After sustaining a traumatic posterolateral hip dislocation, a seven-year-old boy presented to an outside faci...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2019-05-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/24t7p7g4 |
| _version_ | 1818684462525841408 |
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| author | Seth Capehart Brenden J. Balcik Rosanna Sikora Melinda Sharon Joseph Minardi |
| author_facet | Seth Capehart Brenden J. Balcik Rosanna Sikora Melinda Sharon Joseph Minardi |
| author_sort | Seth Capehart |
| collection | DOAJ |
| description | Traumatic hip dislocation in children is relatively rare but presents a true emergency, as a delay in reduction can result in avascular necrosis of the femoral head and long-term morbidity. After sustaining a traumatic posterolateral hip dislocation, a seven-year-old boy presented to an outside facility where no attempt was made at reduction. The patient was transferred to our emergency department (ED) where he was promptly sedated and the dislocation was reduced in a timely manner. Emergency physicians have demonstrated high success rates with dislocation reduction. ED reduction should occur immediately to reduce the likelihood of long-term complications. While timely consultation with a pediatric orthopedist is recommended, that should not delay reduction. The reduction should ideally be performed before the patient leaves the department or is transferred to another facility. |
| first_indexed | 2024-12-17T10:51:01Z |
| format | Article |
| id | doaj.art-2d8c69261527469fa54583c41185e6e5 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-17T10:51:01Z |
| publishDate | 2019-05-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-2d8c69261527469fa54583c41185e6e52022-12-21T21:51:58ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-05-013210.5811/cpcem.2019.1.41131cpcem-03-123Emergency Physician Reduction of Pediatric Hip DislocationSeth Capehart0Brenden J. Balcik1Rosanna Sikora2Melinda Sharon3Joseph Minardi4West Virginia University School of Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaWest Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, West VirginiaTraumatic hip dislocation in children is relatively rare but presents a true emergency, as a delay in reduction can result in avascular necrosis of the femoral head and long-term morbidity. After sustaining a traumatic posterolateral hip dislocation, a seven-year-old boy presented to an outside facility where no attempt was made at reduction. The patient was transferred to our emergency department (ED) where he was promptly sedated and the dislocation was reduced in a timely manner. Emergency physicians have demonstrated high success rates with dislocation reduction. ED reduction should occur immediately to reduce the likelihood of long-term complications. While timely consultation with a pediatric orthopedist is recommended, that should not delay reduction. The reduction should ideally be performed before the patient leaves the department or is transferred to another facility.https://escholarship.org/uc/item/24t7p7g4 |
| spellingShingle | Seth Capehart Brenden J. Balcik Rosanna Sikora Melinda Sharon Joseph Minardi Emergency Physician Reduction of Pediatric Hip Dislocation Clinical Practice and Cases in Emergency Medicine |
| title | Emergency Physician Reduction of Pediatric Hip Dislocation |
| title_full | Emergency Physician Reduction of Pediatric Hip Dislocation |
| title_fullStr | Emergency Physician Reduction of Pediatric Hip Dislocation |
| title_full_unstemmed | Emergency Physician Reduction of Pediatric Hip Dislocation |
| title_short | Emergency Physician Reduction of Pediatric Hip Dislocation |
| title_sort | emergency physician reduction of pediatric hip dislocation |
| url | https://escholarship.org/uc/item/24t7p7g4 |
| work_keys_str_mv | AT sethcapehart emergencyphysicianreductionofpediatrichipdislocation AT brendenjbalcik emergencyphysicianreductionofpediatrichipdislocation AT rosannasikora emergencyphysicianreductionofpediatrichipdislocation AT melindasharon emergencyphysicianreductionofpediatrichipdislocation AT josephminardi emergencyphysicianreductionofpediatrichipdislocation |