Abstract
Traumatic hip dislocation in children is an uncommon injury and constitutes an orthopaedic emergency. The case we present is a 3 year-old girl who dislocated her right hip posteriorly after her brother fell on her. The hip was promptly reduced with gentle manipulation and was immobilized with hip spica cast for 3 weeks. After removing the cast, protected weight-bearing was allowed for 3 weeks. Review at 6 months revealed normal examination and no evidence of avascular necrosis on radiograph. Most children have an excellent outcome after this injury. Avascular necrosis is a well-known and catastrophic complication of traumatic dislocation of the hip in children. Urgent reduction of the hip within 6 hours of injury reduces the risk of avascular necrosis.
Highlights
Traumatic dislocation of the hip joint in children is rare
CASE We report the case of a 3 year-old girl who dislocated her right hip after her 8 year-old brother fell on her in the garden at home
In posterior dislocation the affected hip is in flexion, adduction and internal rotation
Summary
A greater amount of force is required to produce a hip dislocation in adolescents or adults. In children it can occur with a relatively minor trauma, which is attributed to a ligament laxity and soft acetabulum [1]. CASE We report the case of a 3 year-old girl who dislocated her right hip after her 8 year-old brother fell on her in the garden at home. Her parents brought her to the emergency department (ED), reporting that she was un-. Post-reduction assessment of the hip showed complete range of motion and the concentric
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