Recurrent traumatic hip dislocation in an 8-year-old boy
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 w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644021000236 |
| _version_ | 1818675806451269632 |
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| author | Rita Sapage Carlos Branco Rita Sousa Diogo Sousa Ricardo Branco António Lemos Lopes |
| author_facet | Rita Sapage Carlos Branco Rita Sousa Diogo Sousa Ricardo Branco António Lemos Lopes |
| author_sort | Rita Sapage |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-17T08:33:26Z |
| format | Article |
| id | doaj.art-a3b535bec1a146d0a2617f789700293a |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-17T08:33:26Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-a3b535bec1a146d0a2617f789700293a2022-12-21T21:56:32ZengElsevierTrauma Case Reports2352-64402021-04-0132100418Recurrent traumatic hip dislocation in an 8-year-old boyRita Sapage0Carlos Branco1Rita Sousa2Diogo Sousa3Ricardo Branco4António Lemos Lopes5Corresponding author.; Orthopedic and Traumatology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, PortugalOrthopedic and Traumatology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, PortugalOrthopedic and Traumatology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, PortugalOrthopedic and Traumatology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, PortugalOrthopedic and Traumatology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, PortugalOrthopedic and Traumatology Department, Centro Hospitalar de Trás-os-Montes e Alto Douro, Avenida da Noruega, Lordelo, 5000-508 Vila Real, PortugalPediatric 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.http://www.sciencedirect.com/science/article/pii/S2352644021000236ChildHipTraumatic dislocationMagnetic resonance imagingClosed reduction |
| spellingShingle | Rita Sapage Carlos Branco Rita Sousa Diogo Sousa Ricardo Branco António Lemos Lopes Recurrent traumatic hip dislocation in an 8-year-old boy Trauma Case Reports Child Hip Traumatic dislocation Magnetic resonance imaging Closed reduction |
| title | Recurrent traumatic hip dislocation in an 8-year-old boy |
| title_full | Recurrent traumatic hip dislocation in an 8-year-old boy |
| title_fullStr | Recurrent traumatic hip dislocation in an 8-year-old boy |
| title_full_unstemmed | Recurrent traumatic hip dislocation in an 8-year-old boy |
| title_short | Recurrent traumatic hip dislocation in an 8-year-old boy |
| title_sort | recurrent traumatic hip dislocation in an 8 year old boy |
| topic | Child Hip Traumatic dislocation Magnetic resonance imaging Closed reduction |
| url | http://www.sciencedirect.com/science/article/pii/S2352644021000236 |
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