Traumatic Posterior Dislocation of The Hip in A 3 Year-old Child
Murat Zumrut 1  
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Numune Hospital, Department of Orthopaedics, Konya, Turkey
Gaziosmanpasa University, Faculty of Medicine, Department of Emergency Medicine, Tokat, Turkey
Murat Zumrut   

Kılıncarslan Mah. Nurdag Sok. Yuksel Sitesi No:12/38, Selcuklu-Konya/ Turkey
Publish date: 2014-04-15
Eur J Gen Med 2014;11(2):123–125
Traumatic hip dislocation in children is an uncommon injury and constitutes an orthopaedic emergency. The case we present is a 3 year-old girl who dislocated her right hip posteriorly after her brother fell on her. The hip was promptly reduced with gentle manipulation and was immobilized with hip spica cast for 3 weeks. After removing the cast, protected weight-bearing was allowed for 3 weeks. Review at 6 months revealed normal examination and no evidence of avascular necrosis on radiograph. Most children have an excellent outcome after this injury. Avascular necrosis is a well-known and catastrophic complication of traumatic dislocation of the hip in children. Urgent reduction of the hip within 6 hours of injury reduces the risk of avascular necrosis.