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Hip Dislocation with Midshaft Femur Fracture

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Pediatric Orthopedic Trauma Case Atlas

Abstract

Midshaft femur fractures with associated traumatic hip dislocations are a rare injury pattern in the pediatric population. These injuries are caused by high-energy mechanisms, such as an MVC or a fall from height. Management of this injury pattern first focuses on reduction of the hip, followed by surgical intervention of the femur fracture itself. Reduction of the hip, depending on timing, takes place in the emergency department or the operating room, followed by fixation of the femur fracture. There are a multitude of potential associated injuries; therefore it is of utmost importance to perform a thorough and adequate trauma evaluation. This case presents the management strategy of a 15-year-old male with a left hip dislocation and associated ipsilateral midshaft femur fracture.

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References and Suggested Reading

  • Hubbard EW et al (2018) Pediatric orthopedic trauma: an evidence-based approach. Orthop Clin North Am 49(2):195–210

    Article  Google Scholar 

  • Hung NN et al (2012) Traumatic hip dislocation in children. J Pediatr Orthop 21(6):542–51

    Article  Google Scholar 

  • Klingele K et al (2016) Traumatic, posterior pediatric hip dislocations with associated posterior labrum osteochondral avulsion: recognizing the acetabular "fleck" sign. J Pediatr Orthop 36(6):602–7

    Google Scholar 

  • Kutty S et al (2001) Traumatic posterior dislocation of hip in children. Pediatr Emerg Care 17(1):32–5

    Article  CAS  Google Scholar 

  • Novias E et al (2016) Surgical hip dislocation for the treatment of intra-articular injuries and hip instability following traumatic posterior dislocation in children and adolescents. J Pediatr Orthop 36(7):673–9

    Google Scholar 

  • Podeszwa DA et al (2015) Surgical hip dislocation is safe and effective following acute traumatic hip instability in the adolescent. J Pediatr Orthop 35(5):435–42

    Article  Google Scholar 

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Correspondence to Brandon Lucas .

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Lucas, B., Klingele, K. (2019). Hip Dislocation with Midshaft Femur Fracture. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_156-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_156-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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