JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

J Am Acad Orthop Surg, Vol 17, No 1, January 2009, 15-21.
© 2009 the American Academy of Orthopaedic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Herrera-Soto, J. A.
Right arrow Articles by Price, C. T.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Herrera-Soto, J. A.
Right arrow Articles by Price, C. T.

Traumatic Hip Dislocations in Children and Adolescents: Pitfalls and Complications

José A. Herrera-Soto, MD and Charles T. Price, MD

Dr. Herrera-Soto is Assistant Program Director, Pediatric Orthopaedic Fellowship Program and Director of Orthopaedic Research, Orlando Regional Medical Center, Orlando, FL. Dr. Price is Program Director, Pediatric Orthopaedic Fellowship, Orlando Regional Medical Center.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Herrera-Soto and Dr. Price.

Reprint requests: Dr. Herrera-Soto, Pediatric Orthopaedic Fellowship Program, Orlando Regional Medical Center, 83 West Columbia Street, Orlando, FL 32806.

Traumatic hip dislocation is an uncommon injury in children. Lack of familiarity with management of the treating physician may lead to complications. Hip dislocation in young children can occur with minor trauma; in adolescents, greater force is required to produce a traumatic complete hip dislocation. Transient hip dislocation with spontaneous but incomplete reduction is a diagnostic pitfall that can occur in adolescents. Any asymmetric widening of the hip joint warrants additional investigation. Most dislocations in children can be reduced with gentle manipulation. Urgent reduction of the hip within 6 hours of injury reduces the risk of osteonecrosis. However, closed reduction in adolescents should be performed with caution because of the risk of displacement of the femoral head during manipulation. Open reduction is indicated when closed reduction fails or when there is interposition of bone or soft tissue following attempted closed reduction. Late complications include osteonecrosis, coxa magna, and osteoarthritis.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2009 by the American Academy of Orthopaedic Surgeons.