Dislocation Of Hip In Childhood Research Articles

Traumatic Hip Dislocations in Patients Younger Than 16 Years Old: A Single Center Experience with Mean Follow-Up of 10.4 Years.

Traumatic hip dislocation in childhood is a rare injury. The aim of this study was to present the experience of a single center for traumatic hip dislocation in the pediatric and adolescent age group. The orthopedic trauma database of a single center was retrospectively searched for patients who had sustained a traumatic hip dislocation between 2004 and 2019. Data related to age, mechanism of injury, additional fractures, presence of any open fracture or neurovascular injury, and dislocation side were retrieved from the patient files. Functional outcome was evaluated using the Harris Hip Scoring system. The mean age of 13 patients at the time of injury was 7.7years and the mean follow-up time was 124.5months (10.4years). All traumatic hip dislocations were posterior dislocations. The mean Harris Hip score was 95.7 points (range 55-100 points) with 12 patients scored as excellent and 1 as poor results. Ten complications including limb length inequality, avascular necrosis and hip arthritis were determined in seven patients. Traumatic hip dislocation is a rare injury in the pediatric age group. Early diagnosis and concentric reduction of the femoral head is essential for better functional results and to avoid complications. Limb length inequality is a frequently seen complication, which has not been reported in previous studies.

Two cases report of traumatic hip dislocation in childhood

Two cases report of traumatic hip dislocation in childhood

A review of long-term outcomes for late presenting developmental hip dysplasia.

Successful management of late presenting hip dislocation in childhood is judged by the outcome not just at skeletal maturity but well beyond into adulthood and late middle age. This review considers different methods of treatment and looks critically at the handful of studies reporting long-term follow-up after successful reduction.

Traumatic Hip Dislocation in Childhood

We report the outcome of closed reduction of traumatic hip dislocation in 28 children younger than 16 years of age (average age, 8 years 10 months). At an average follow-up of 8 years and 10 months (range, 2 years - 42 years), 18 patients were asymptomatic and enjoying a normal life, and some of them returned to practice sport activities. The remainder had complications related to associated injuries. There were no cases of avascular necrosis of the femoral head during follow-up. The majority of dislocations were attributable to low energy injuries in children younger than 10 years of age. Traumatic hip dislocation in children is uncommon. Management after reduction is not clearly defined in the literature. It is important to perform reduction as soon as possible to avoid later avascular necrosis.

Treatment of hip dislocation in childhood: a case report

Treatment of hip dislocation in childhood: a case report

Traumatic Hip Dislocation in Childhood

Traumatic dislocation of the hip in childhood is uncommon and can be a consequence of minor trauma. The authors report a series of 35 dislocations in skeletally immature patients. Most were isolated posterior dislocations without acetabular lesions. In 75% of cases, reduction of the dislocation was easy. Nine children required surgery to remove interposed joint capsule and/or osteochondral fragments to achieve anatomic reduction. Outcomes were generally good, except in one patient in whom a displaced fracture of the femoral physis was followed by total head avascular necrosis. One case of partial necrosis had a satisfactory outcome. Epiphyseal necrosis, though uncommon, appeared to be inconsistent to prevent and hard to predict. Bone scan seems to be more effective than MRI for the detection of necrosis.

Imaging of traumatic dislocation of the hip in childhood.

Traumatic hip dislocation in childhood is a rare consequence of violent trauma. After reduction, outcome is usually favourable although epiphyseal necrosis can occur. Reduction must be carried out as soon as possible and is achieved easily, although if the labrum is involved, surgery may be required to achieve complete reduction. To analyze a retrospective series of traumatic hip dislocations in children, describing the therapeutic and imaging strategy. A total of 42 patients were studied. Their mean age was 10 years 3 months. All relevant radiographic, CT, MRI and radionuclide bone scan examinations were reviewed. Special attention was paid to associated lesions. In 22 patients the dislocation was caused by low-energy trauma. Road traffic accidents accounted for 17 dislocations. An acetabular fracture was present in six patients and the femoral head was fractured in three. Reduction was easily achieved in 31 patients. In 11 patients the postreduction radiograph and CT showed joint space asymmetry secondary to labral entrapment. Only two patients developed epiphyseal necrosis. It has been difficult to define and evaluate accurate principles for a medical imaging strategy in this group of patients. Analysis of plain radiographs is essential before and after reduction of the joint, and it is important to perform postreduction CT in every patient whose joint space remains widened. A radionuclide bone scan should be performed between the second and third weeks after injury to assess epiphyseal vascularity. With the use of specific sequences, MRI may be an alternative modality to assess epiphyseal vitality.

Joint asymmetry after closed reduction of traumatic dislocation of hip in childhood

Joint asymmetry after closed reduction of traumatic dislocation of hip in childhood

Traumatic hip dislocation in childhood.

Eighteen cases of traumatic dislocations of the hip in children under 15 years of age presenting between 1985 and 1995 were reviewed. Fifteen of the dislocations were posterior. There were two groups: a younger group dislocating with minimal trauma and an older group whose injuries involved significantly more trauma. All patients were treated by closed reduction, but two required open reduction because of intraarticular fragments preventing a full reduction. On long-term follow-up of the 16 available patients (average length of follow-up, 5 years 10 months; range, 17-132), there were no cases of avascular necrosis or early degenerative change.

Traumatic Hip Dislocation in Childhood

Eighteen cases of traumatic dislocations of the hip in children under 15 years of age presenting between 1985 and 1995 were reviewed. Fifteen of the dislocations were posterior. There were two groups: a younger group dislocating with minimal trauma and an older group whose injuries involved significantly more trauma. All patients were treated by closed reduction, but two required open reduction because of intraarticular fragments preventing a full reduction. On long-term follow-up of the 16 available patients (average length of follow-up, 5 years 10 months; range, 17-132), there were no cases of avascular necrosis or early degenerative change.

Traumatic Hip Dislocation in Childhood.

Traumatic Hip Dislocation in Childhood.

Traumatic Hip Dislocation in Childhood

HomeRadiologyVol. 165, No. 3 PreviousNext ReviewsTraumatic Hip Dislocation in ChildhoodLinda R. RoeLinda R. RoeLinda R. RoePublished Online:Dec 1 1987https://doi.org/10.1148/radiology.165.3.638MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In Article HistoryPublished in print: Dec 1987 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 165, No. 3 Metrics Altmetric Score PDF download

Natural history of avascular necrosis following traumatic hip dislocation in childhood: a review of 145 cases.

One hundred and forty-five cases of traumatic hip dislocation in children, complicated with avascular necrosis, were reviewed. Necrosis involved the capital epiphysis and the growth plate, and the resulting changes followed different patterns. These changes in younger children were mostly dependent on the disturbance of the growth plate, and resembled Calvé-Perthes' disease in most of its features. In older children necrosis of the femoral head occurred, as in adults. Analysis of long-term results suggest that the frequency of deformities is extremely high, and a significant incidence of degenerative joint disease can be anticipated.

Traumatic hip dislocation in childhood. A report of 26 cases and review of the literature.

Twenty-six cases of traumatic hip dislocation in children are presented. Although closed reduction was achieved in most instances, open procedures had to be employed in two cases of soft tissue interposition and in a patient with ipsilateral fracture of the femoral shaft. In 16 patients, with a follow-up averaging 14 years, the incidence of complications (avascular necrosis, coxa magna and arthrosis) was significant. Factors predisposing to abnormal results were delayed reduction and severe trauma. Neither the method of immobilization nor the interval without weight-bearing over 4 weeks were of influence. Principles of treatment are suggested.

Traumatic dislocation of hip in children : Hovelius L. (1974) Traumatic dislocation of the hip in children. Acta Orthop. Scand.45, 746

Traumatic dislocation of hip in children is a relatively rare injury. Mason (1954) reviewing the literature found 88 cases of traumatic dislocation of hip in childhood reported in the period from 1922 to 1954. In developed countries neglected and unreduced hip dislocations presenting weeks or months after the injury are rarely seen and are usually as a result of missing the diagnosis due to associated severe skeletal injuries. However, they can often be seen in developing countries where patients are brought may days later, after reported manipulations and message. Gupta and Chaturvedi (1970) reported 32 cases of traumatic dislocation of hip in children in their 10 years series, out of which 12 cases were brought to hospital after 7 days and one after three and half months.