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.
J Bone Joint Surg [Br] 2002;84-B:113-5. Received 13 November 2000; Accepted 18 December 2000Case report A 15-year-old boy who was travelling as an unrestrained passenger in the rear seat of a car was involved in an accident and thrown out of the vehicle. He was admitted to the local hospital, assessed and resuscitated. He had sustained a posterior dislocation of the left hip with a fracture of the posterior column of the acetabulum and separation of the proximal epiphysis of the right humerus which was lying outside the acetabulum (Fig.
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