Posterior Dislocation of the Hip in a 4-Year-Old Boy

Serhat Mutlu¹, Bulent Yucel¹, Tahir Mutlu Duymus¹, Baran Kömür¹, Ozgur Karaman¹, Harun Mutlu²

¹Department of Orthopaedics, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
²Department of Orthopaedics, Taksim Training and Research Hospital, Istanbul, Turkey.

DOI: 10.4236/crcm.2015.41006                

Abstract

Traumatic hip dislocations occur in children below 15 years old. Just as in adults, posterior hip dislocations are 10 times more common than anterior hip dislocations. Traumatic hip dislocation in pediatric patients < 10 years of age requires much less force than that in an adult, while in children over 10 years old, We reported a 4-year-old boy with traumatic hip dislocation. Closed reduction with the Bigelow manoeuvre was applied without general anesthesia in the Emergency room. Patient was followed up for 4 weeks in a hip spica cast. There were no problems at the 6-month follow-up examination. Traumatic hip dislocation in children is not a common event and is generally caused by minor trauma.

Keywords

Traumatic Hip Dislocation, Child, Posterior

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Muratli, H.H., Dagli, C., Biçimoglu, A. and Tabak, A.Y. (2004) Recurrent Traumatic Hip Dislocation in a Child. Acta Orthopaedica et Traumatologica Turcica, 38, 149-153.
[2]	Singhal, R., Perry, D., Cohen, D. and Bruce, C. (2011) Delayed Diagnosis of Traumatic Hip Dislocation Mimicking Perthes Disease in a Child. BMJ Case Reports.
[3]	Gürkan, V., Dursun, M., Orhun, H., Sever, G.B., Kiliçkap, C. and Berkel, T. (2006) Evaluation of Pediatric Patients with Traumatic Hip Dislocation. Acta Orthopaedica et Traumatologica Turcica, 40, 392-395.
[4]	Avery 3rd, D.M. and Carolan, G.F. (2013) Traumatic Obturator Hip Dislocation in a 9-Year-Old Boy. The American Journal of Orthopedics, 42, E81-E83.
[5]	Haverstock, J.P., Sanders, D.W., Bartley, D.L. and Lim, R.K. (2013) Traumatic Pediatric Hip Dislocation in a Toddler. The Journal of Emergency Medicine, 45, 91-94. http://dx.doi.org/10.1016/j.jemermed.2012.11.045
[6]	Rubel, I.F., Kloen, P., Potter, H.G. and Helfet, D.L. (2002) MRI Assessment of the Posterior Acetabular Wall Fracture in Traumatic Dislocation of the Hip in Children. Pediatric Radiology, 32, 435-439. http://dx.doi.org/10.1007/s00247-001-0634-y
[7]	Banskota, A.K., Spiegel, D.A., Shrestha, S., Shrestha, O.P. and Rajbhandary, T. (2007) Open Reduction for Neglected Traumatic Hip Dislocation in Children and Adolescents. Journal of Pediatric Orthopaedics, 27, 187-191. http://dx.doi.org/10.1097/BPO.0b013e31802c547e
[8]	Sulaiman, A.R., Munajat, I. and Mohd, E.F. (2014) Outcome of Traumatic Hip Dislocation in Children. Journal of Pediatric Orthopaedics B, 23, 204-205. http://dx.doi.org/10.1097/BPB.0000000000000007
[9]	Hughes, M.J. and D’Agostino, J. (1996) Posterior Hip Dislocation in a Five-Year-Old Boy: A Case Report, Review of the Literature, and Current Recommendations. The Journal of Emergency Medicine, 14, 585-590. http://dx.doi.org/10.1016/S0736-4679(96)00131-X
[10]	Manner, H.M., Mast, N.H., Ganz, R. and Leunig, M. (2012) Potential Contribution of Femoroacetabular Impingement to Recurrent Traumatic Hip Dislocation. Journal of Pediatric Orthopaedics B, 21, 574-578. http://dx.doi.org/10.1097/BPB.0b013e328357bf04
[11]	Hearty, T., Swaroop, V.T., Gourineni, P. and Robinson, L. (2011) Standard Radiographs and Computed Tomographic Scan Underestimating Pediatric Acetabular Fracture after Traumatic Hip Dislocation: Report of 2 Cases. Journal of Orthopaedic Trauma, 25, e68-e73. http://dx.doi.org/10.1097/BOT.0b013e3181f9a7ba
[12]	Baker, J.F., Leonard, M., Devitt, B.M., Queally, J.M. and Noel, J. (2011) Traumatic Hip Dislocation in a 3-Year-Old Girl. Pediatric Emergency Care, 27, 1178-1179. http://dx.doi.org/10.1097/PEC.0b013e31823b0e71
[13]	Ciftdemir, M., Aydin, D., Ozcan, M. and Copuroglu, C. (2014) Traumatic Posterior Hip Dislocation and Ipsilateral Distal Femoral Fracture in a 22-Month-Old Child: A Case Report. Journal of Pediatric Orthopaedics B, 23, 544-548. http://dx.doi.org/10.1097/BPB.0000000000000089
[14]	Rodriguez-Merchan, E.C. and Goddard, N.J. (2000) Traumatic Dislocation of the Hip. Clinical Orthopaedics and Related Research, 377, 2-3.