[Traumatic hip dislocation complicated by soft tissue interposition--a case report and review of the literature].
Traumatic hip dislocation is by far less common in children than in adults. It occurs 4 times more frequently in boys than in girls. The force of the trauma leading to hip dislocation can be surprisingly small. Incomplete reduction is mainly caused by soft-tissue interposition or fragments of cartilage from the acetabulum. In such cases an X-ray examination will reveal a lateral protrusion of the femoral head. CT scans and MRI investigation play an important role in further diagnostics of the patient. The paper presents the case of a 5 year old boy with traumatic hip dislocation complicated by soft-tissue interposition. After an unsuccessful attempt of closed reduction, the hip was reduced surgically. The interposing element was removed--part of the cartilagenous insertion (size: 3 x 3 mm) of the femoral head ligament. During a follow-up examination 10 months post-op no signs of necrosis nor loss of ROM were noted.
Gaździk
T
T
Katedra i Oddział Kliniczny Ortopedii, Slaska Akademia Medyczna w Katowicach.
Wojciechowski
P
P
Barczyński
A
A
D002675:Child, Preschool; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D016059:Range of Motion, Articular; D014057:Tomography, X-Ray Computed