title: A fungating spica.
abstract: Developmental dysplasia of the hip (DDH) is a common paediatric orthopaedic problem. There are various options for treatment dependent on the age and presentation. In closed and open reduction of DDH, we use a hip spica cast for immobilisation after the procedure. We present an unusual case of fungal growth on a hip spica. A 7-month-old girl presented to our institution with clusters of yellowish-white outgrowths resembling mushrooms from her spica. To the best of our knowledge, this is the first reported case of fungal growth on a hip spica following DDH treatment. It is of utmost importance to be aware of any growth on a hip spica, as this requires a prompt change of spica to avoid further complications. We recommend that the integrity of the spica and the skin be checked at regular intervals in patients with a hip spica.
authors.affiliation: Department of Trauma and Orthopaedics, Alder Hey Children's Hospital NHS Foundation Trust, Liverpool, UK.
authors.forename: Yuen
authors.initials: Y
authors.lastname: Chan
authors.affiliation: Department of Trauma and Orthopaedics, Alder Hey Children's Hospital NHS Foundation Trust, Liverpool, UK.
authors.forename: Veenesh
authors.initials: V
authors.lastname: Selvaratnam
authors.affiliation: Department of Trauma and Orthopaedics, Alder Hey Children's Hospital NHS Foundation Trust, Liverpool, UK.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Garg
mesh_terms: D002370:Casts, Surgical / Q000382:microbiology*; D005260:Female; D006618:Hip Dislocation, Congenital / Q000601:surgery*; D006801:Humans; D007103:Immobilization; D007223:Infant; D009090:Mucorales / Q000302:isolation & purification*; D009091:Mucormycosis / Q000382:microbiology*; D019637:Orthopedic Procedures