Locked Central Fracture Dislocation of the Hip in a Child after Low-Energy Trauma

We present the case of a 13-year-old boy who sustained a locked central fracture dislocation of the right acetabulum following a bicycle fall. Immediate external reduction maneuvers under general anesthesia were unsuccessful due to intrapelvic entrapment of the femoral head. Open reduction internal...

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Bibliographic Details
Main Authors: Alexandre H. Nehme, Jack C. Daoud, Hicham G. Abdelnour, Jad N. Bou Mounsef, Ramzi C. Moucharafieh, Joseph W. Wehbe
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2017/6873484
Description
Summary:We present the case of a 13-year-old boy who sustained a locked central fracture dislocation of the right acetabulum following a bicycle fall. Immediate external reduction maneuvers under general anesthesia were unsuccessful due to intrapelvic entrapment of the femoral head. Open reduction internal fixation was achieved 48 hours later. After an initial satisfactory postoperative course, the patient ended up developing severe hip osteoarthritis 16 months after the procedure. The rarity of this injury in children is discussed, with its possible implications on joint congruity and potential growth injury.
ISSN:2090-6749
2090-6757