Traumatic anterior dislocation of hip in a teenager: an open unusual type

Zekry, Medhat; Mahmoodi, Mohsen Sayed; Saad, Girgis; Morgan, Mamdouh

doi:10.1007/s00590-012-0978-z

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…Traumatic open anterior dislocation of the hip in children is associated with serious complications and could have a very poor prognosis [1, 5, 9, 10, 25–29]. In our patient’s case, bone scintigraphy after prompt reduction indicated reduced bone turnover on the femoral head due to the severity of the initial trauma [29, 30].…”

Section: Discussionmentioning

confidence: 78%

“…Weight-bearing within 6 weeks without accurately assessing either the necrotic area or revascularization might lead to premature breakdown of the hip joint in children with ischemic necrosis after traumatic hip dislocation [5, 9, 10, 14, 33]. Collapse of the necrotic femoral head could occur with earlier weight-bearing during the revascularization process due to the weakness of the affected head resulting from the mechanical stress [34].…”

Section: Discussionmentioning

confidence: 99%

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Revascularization of the necrotic femoral head after traumatic open anterior hip dislocation in a child: a case report

et al. 2019

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Introduction Avascular necrosis of the femoral capital epiphysis is the most serious complication after traumatic dislocation of the hip in children. This case report discusses the localization and revascularization of the necrotic femoral head following rarely experienced traumatic open anterior hip dislocation in children. Case presentation Our patient was an 11-year-old Japanese boy who had open anterior hip dislocation sustained in a traffic accident. Reduction of the hip joint was performed in an emergency operation, and he was evaluated using serial gadolinium-enhanced magnetic resonance imaging. T1-weighted magnetic resonance images showed two bands with low signal intensity in the femoral capital epiphysis on coronal and oblique axial planes, indicating the existence of avascular osteonecrosis of the femoral head. We observed gadolinium enhancement in the central region of the epiphysis, where the area between the two bands with low signal intensity was located. Serial assessment with enhanced magnetic resonance images during a non-weight-bearing period of 1.5 years after injury showed revascularization starting from the central region and converging toward the peripheral region. Although the patient had leg-length discrepancy due to the early epiphyseal closure, non-weight-bearing treatment for the avascular osteonecrosis of the femoral head achieved a favorable outcome without any hip joint dysfunction, pain, or sign of secondary osteoarthritic change within 4.5 years after injury. Conclusion We confirmed the revascularization process of the necrotic lesion in the femoral capital epiphysis in an 11-year-old boy using serial gadolinium-enhanced magnetic resonance imaging. Conservative non-weight-bearing treatment achieved a favorable outcome.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Revascularization of the necrotic femoral head after traumatic open anterior hip dislocation in a child: a case report

et al. 2019

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“…Traumatic hip dislocation (THD), which accounts for 3% of all joint dislocations in children which is a rare condition [1]. There are four types of traumatic hip dislocation, all of which are related to the relationship between the acetabulum and the displaced femoral head: central, inferior, anterior, posterior, and central [2].…”

Section: Introductionmentioning

confidence: 99%

Traumatic Hip Dislocation Associated with Iatrogenic Proximal Femoral Physeal Fracture in Children: A Systematic Review and Case Report

Mohammed Hushlul

2023

OROAJ

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Background: Traumatic hip dislocation (THD), which accounts for 3% of all joint dislocations in children which is a rare condition. pediatric hip dislocation with transphyseal femoral neck fracture accounts for less than one percent of all hip injuries. Less than 8% of hip fractures and 1% of pediatric fractures are caused by femoral head and neck fractures. A high rate of complications is linked to transphyseal femoral neck fracture related THD. Avascular necrosis, premature epiphyseal closure, nonunion, soft tissue loss injuries in open fracture-dislocation that necessitate negative pressure wound therapy, leg length discrepancy, coxavara, and the angular deformity that goes along with it are list of these complications.

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Ipsilateral open anterior hip dislocation and avulsion fracture of the greater trochanter: An unusual case report

Khalifa

Alaya

Hassini

et al. 2019

Archives de Pédiatrie

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Traumatic anterior dislocation of hip in a teenager: an open unusual type

Cited by 9 publications

References 17 publications

Revascularization of the necrotic femoral head after traumatic open anterior hip dislocation in a child: a case report

Revascularization of the necrotic femoral head after traumatic open anterior hip dislocation in a child: a case report

Traumatic Hip Dislocation Associated with Iatrogenic Proximal Femoral Physeal Fracture in Children: A Systematic Review and Case Report

Ipsilateral open anterior hip dislocation and avulsion fracture of the greater trochanter: An unusual case report

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