9岁儿童外伤性髋后脱位1例

Khandge Av
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引用次数: 0

摘要

儿童外伤性髋关节脱位是一种相对罕见的损伤。如果在受伤后6小时内不被注意并减少,可能会出现股骨头缺血性坏死等并发症。我们报告一例小儿髋关节后路脱位:一名9岁女童,有从高处(5英尺)坠落的病史,随后患者遭受右侧髋关节后路脱位,在全身麻醉下,在托马斯夹板固定下,在受伤后4小时内复位。患者随访8个月后髋关节完全恢复正常。建议在创伤后尽快闭合复位或在全身麻醉下对脱位髋关节进行开放复位。由于儿童的疼痛敏感性不同于成人,检查人员必须在儿童下肢创伤后进行髋关节检查。因此,检查者必须对儿童进行全面评估,不能在没有适当检查和伴随放射学的情况下排除任何髋关节状况。
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Traumatic Posterior Hip Dislocation In A 9 Year Child: A Case Report
-Traumatic hip dislocation in children is a relatively rare injury. If gone unnoticed and reduced later than six hours after injury it can have complications like avascular necrosis of the femoral head. We present a case of paediatric posterior hip dislocation: A nine-year-old female child with a history of fall from height (5 feet) following which patient suffered a right-sided posterior hip dislocation which was reduced within four hours of injury under general anesthesia followed by immobilization in a Thomas splint. The patient followed up after eight months with a completely normal hip.Closed reduction as rapidly as possible following the trauma or an open relocation of the dislocated hip under general anesthesia is the treatment recommended. As pain sensitivity in children differs from that in adults the examiner must always do a hip examination following a trauma to the lower limb in children. Hence, it is imperative for the examiner to assess the child holistically and not to exclude any hip joint condition without proper examination and accompanying radiology.
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