Traumatic dislocation of the hip in an 18-month child: A case report and review of literature

authors:

avatar Azam Taheri 1 , avatar Kourosh Shahraki 2 , *

Dept of Orthopedics, Faculty of Medicine, Zahedan University of Medical Sciences and Health Services, Zahedan. Iran
Clinical Research Development Center, Faculty of Medicine, Zahedan University of Medical Sciences and Health services, Zahedan. Iran

how to cite: Taheri A, Shahraki K . Traumatic dislocation of the hip in an 18-month child: A case report and review of literature. Zahedan J Res Med Sci. 2008;10(3):e94511. 

Abstract

Traumatic dislocation of the hip joint in children is an uncommon injury and is considered as an
orthopedic emergency. In children, it can occur as a result of minimal trauma, which is attributed
to a soft pliable acetabulum and ligamentous laxity. In skeletally mature adolescents, a greater
force is required to dislocate the hip joint. Delayed reduction will result in long-term complications
such as avascular necrosis and degenerative arthritis. Avascular necrosis is related to the duration
of dislocation. A poorer prognosis is associated with delay in reduction beyond 6 hours, advanced
skeletal maturity, or multiple traumas. We report a 18-month child with traumatic dislocation of hip
that was reduced within 6 hours of occurrence. The follow up visit after 1 year revealed normal
physical examination and no evidence of any post-traumatic changes were noted.. Post-reduction
treatment remains without a consensus.

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