Traumatic Hip Dislocation with Proximal Femoral Epiphyseal Fracture in 12-Year-Old Boy: A Case-Based Review.

Journal of Orthopaedic Case Reports Pub Date : 2024-12-01 DOI:10.13107/jocr.2024.v14.i12.5066

R Kiran Kumar, Amit M Awachat, Sudhir Sharan, Akshay Jathkar, Ajay Naidu, Nagesh Akhade

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Abstract

Introduction: Pediatric hip fractures comprised <1% of all pediatric fractures. These fractures are usually associated with high-energy trauma, such as motor vehicle accidents or fall from height. The Delbet classification of pediatric hip fractures is frequently used to describe these injuries and to relate the fracture type to the development of avascular necrosis. Treatment should be given as an emergency basis and monitored according to the type of fracture and the patient's age. Historically, casting was used for such fractures; however, due to the high complication rate, the treatment modality has shifted to early anatomical fixation.

Case report: We present the case report with detailed history, examination, and treatment of a 12-year-old boy with an uncommon site of fracture at right transepiphyseal hip fracture with dislocation. Emergency initial operation was done and followed up for 2-year duration on regular basis. The patient has currently normal gait with painful terminally restricted movements.

Conclusion: Early recognition and operative management of pediatric hip fractures has improved outcomes.

Abstract Image