Transepiphyseal fracture of the femoral neck with dislocation of the femoral head and fracture of the posterior column of the acetabulum in a child.
We describe a 15-year-old boy with a posterior dislocation of the hip, fracture of the posterior column of the acetabulum and separation of the femoral capital epiphysis. To our knowledge no previous case in a child has been reported. Such high-energy injuries are extremely rare, and a poor outcome is expected. We advocate early referral to a specialised tertiary centre, and the use of a modification of Delbet's classification to reflect the complexity and displacement which may occur with this injury.
Mohammad
S
S
Middlesborough General Hospital, Cleveland, England, UK.
Port
A
A
Montgomery
R J
RJ
D000063:Accidents, Traffic; D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries*; D000293:Adolescent; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005270:Femur Head / Q000293:injuries*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D011859:Radiography