title: Ipsilateral obturator type of hip dislocation with fracture shaft femur in a child: a case report and literature review.
abstract: The incidence of traumatic hip dislocations in children is rising in this fast developing world along with increasing numbers of high-velocity road traffic accidents. Anterior dislocation of the hip has a lower incidence compared with posterior dislocation of the hip. We encountered a rare case of the obturator type of anteriorly dislocated hip associated with ipsilateral fracture of the shaft femur in an 11-year-old child. This is a highly unusual injury combination and the mechanism of injury is obscure. Only two similar cases have been reported in the English literature to date. Closed reduction of the hip using a hitherto undescribed technique and an intramedullary interlocking nail was performed in this case. At 6 months of follow-up, the fracture shaft femur has united and the child is bearing full weight on the limb.
authors.affiliation: Department of Orthopedics, PGIMER, Chandigarh, India.
authors.forename: R H H
authors.initials: RH
authors.lastname: Arjun
authors.forename: Vishal
authors.initials: V
authors.lastname: Kumar
authors.forename: Balaji
authors.initials: B
authors.lastname: Saibaba
authors.forename: Rakesh
authors.initials: R
authors.lastname: John
authors.forename: Uday
authors.initials: U
authors.lastname: Guled
authors.forename: Sameer
authors.initials: S
authors.lastname: Aggarwal
mesh_terms: D000063:Accidents, Traffic; D002648:Child; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006617:Hip Dislocation / Q000601:surgery*; D006801:Humans; D010384:Pelvic Bones / Q000601:surgery*; D011184:Postoperative Period; D016059:Range of Motion, Articular; D016474:Weight-Bearing