Arthroscopic Treatment of Traumatic Hip Dislocations in Children and Adolescents: A Preliminary Study

Morris, Andrew Conway; Yu, Jonathan; Gilbert, Shawn R.

doi:10.1097/bpo.0000000000000670

Cited by 25 publications

(20 citation statements)

References 23 publications

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“…Concentric, stable reduction without the occurrence of an avascular necrosis, recurrent instability, or pain on follow-up was reported. 8 Intraoperative pathology reported in their series, was similar to the findings in our patient, except for the origin of the bony fragment, which belonged to the femoral head in our patient. Similar findings were reported by Wylie et al who performed hip arthroscopy after hip dislocation in 12 patients younger than 25 years (11–25 years).…”

Section: Discussionsupporting

confidence: 89%

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Arthroscopic Treatment of a Posterior Labral Interposition after a Pediatric Hip Dislocation—A Case Report

Kruppa

Dudda

Schildhauer

et al. 2018

European J Pediatr Surg Rep

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We report the case of a 13-year-old boy, who suffered a posterior hip dislocation from playing soccer. Closed reduction was performed urgently. Because of a nonconcentric hip after closed reduction, further imaging was done. An intra-articular bony fragment was identified. Arthroscopic treatment was performed. Through an anterior portal we were able to locate the intra-articular bony fragment, which was located within the region of the fovea. After lifting of the caudal enfolded labral complex, we were able to remove the fragment. Evidence of a grade 3 cartilage defect was present at the femoral head. We were able to reduce the enfolded posterior labral complex, which was stable afterwards without the necessity of additional suture fixations. The concentric hip reduction was confirmed on an anteroposterior view of the hip postoperatively. The patient was instructed to toe tip weight-bearing for 6 weeks with limited range of motion to 60° of hip flexion. Eight weeks after surgery, he was free of pain and discomforts. From our experience, the arthroscopic intervention after pediatric hip dislocation associated with intra-articular bony fragments or posterior labral complex injuries, represents to be a preferred minimally invasive method in contrast to open surgical procedures.

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Section: Discussionsupporting

confidence: 89%

“…Due to an increased arthroscopic treatment of the adult hip, hip arthroscopy has been extended to include the pediatric population as well. 6 7 8 9 There have been a few reports focusing on arthroscopic treatment after a pediatric hip dislocation. 8 10 11 …”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Treatment of a Posterior Labral Interposition after a Pediatric Hip Dislocation—A Case Report

Kruppa

Dudda

Schildhauer

et al. 2018

European J Pediatr Surg Rep

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“…Besides the classic anterior and posterior approach to the hip joint, Morris and colleagues as well as Eberhardt and colleagues described an arthroscopic technique [13,14]. Due to the low number of cases, none of the studies has enough power to clearly recommend an approach.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature

Clausen

Winkelmann

Macke

et al. 2020

Case Reports in Orthopedics

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We present a rare case of neglected hip dislocation in a 3-year-old boy. Hip dislocations in childhood represent less than 6% of all injuries. The boy presented to the ED with ongoing hip pain after his leg got stuck in a carousel. The physical and radiologic examination revealed a posterior right hip dislocation. The closed reduction failed, so open reduction during surgery was performed. The postoperative protocol included 3 days of immobilization with early mobilization and pain-adapted weight bearing. No signs of femoral head malperfusion occurred 2 months after the injury. The patient did not complain of any limitations such as weight bearing problems or loss of range of motion. In comparison to adults, there are several specialties such as the fact that minor trauma can lead to hip dislocations due to the laxity of the ligaments, and due to the limited direct anamnestic options, neglected hip dislocations can occur. The treatment should focus on immediate proper reduction. The main complications after traumatic hip dislocation are avascular necrosis of the femoral head, redislocation, and early osteoarthritis.

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“…Higher hip flexion and adduction at the time of trauma are associated with simple dislocation, whereas less adduction or less internal rotation is associated with a fracture-dislocation of the posterior acetabular wall [12]. Recently, however, several studies described an association between femoral acetabular impingement (FAI) morphology and traumatic posterior dislocation of the hip [4,5,11,13,14,16,17,19,22,30]. In hips with camtype and pincer-type FAI morphology, the femoral headneck junction impacts against the anterior acetabulum with hip flexion, adduction, and internal rotation.…”

Section: Introductionmentioning

confidence: 99%

Acetabular Retroversion and Decreased Posterior Coverage Are Associated With Sports-related Posterior Hip Dislocation in Adolescents

Novais

Ferrer

Williams

et al. 2018

Clin Orthop Relat Res

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Arthroscopic Treatment of Traumatic Hip Dislocations in Children and Adolescents: A Preliminary Study

Abstract: Level IV-case series.

Cited by 25 publications

References 23 publications

Arthroscopic Treatment of a Posterior Labral Interposition after a Pediatric Hip Dislocation—A Case Report

Arthroscopic Treatment of a Posterior Labral Interposition after a Pediatric Hip Dislocation—A Case Report

A Rare Case of a Traumatic Posterior Hip Dislocation in a 3-Year-Old Boy: A Case Report and Review of the Literature

Acetabular Retroversion and Decreased Posterior Coverage Are Associated With Sports-related Posterior Hip Dislocation in Adolescents

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