[Acute traumatic and especially neglected traumatic hip dislocations are very rare in children].
We report about the first hip arthroscopies of extracapsular neglected hip dislocations with concomitant injuries in two children (2 and 4 years old). The major problem of traumatic hip dislocation is avascular necrosis. Further problems are possible concomitant injuries. It is important not to cause further damage by therapeutic procedures. In a 4-year-old child the hip could be reduced under visualization and in a 2-year-old child with epiphyseal fracture the extent of the operation could be reduced. In both children large avulsion injuries of the ligamentum capitis femoris could be resected via hip arthroscopy. Hip arthroscopy can reduce surgical morbidity considerably and can possibly contribute to prevention of the feared avascular necrosis of the femoral head.
Kindertraumatologie, Orthopädische-Traumatologische Klinik, Olgahospital, Bismarckstraße 8, 70176, Stuttgart, Deutschland. f.fernandez@freenet.de
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Fernandez
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Wirth
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Eberhardt
D000208:Acute Disease; D002675:Child, Preschool; D005260:Female; D006617:Hip Dislocation / Q000000981:diagnostic imaging* / Q000601:surgery*; D025981:Hip Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome