Abstract
Proximal femoral physeal injuries with an associated hip dislocation are uncommon, potentially devastating injuries in the pediatric population. This is frequently the result of high-energy trauma; most commonly reported are motor vehicle collisions. It is important to therefore evaluate the whole patient for multisystem injuries. Due to the physeal injury, there is a significant risk for the development of avascular necrosis. This case highlights management of a proximal femoral physeal fracture/dislocation in a 12-year-old male involved in a motocross accident with special attention placed on surgical approach and avoidance of complications.
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References and Suggested Readings
Blanchard C, Kushare I, Boyles A, Mundy A, Beebe AC, Klingele KE (2016) Traumatic, posterior pediatric hip dislocations with associated posterior labrum osteochondral avulsion: recognizing the acetabular “Fleck” Sign. J Pediatr Orthop 36(6):602–607
Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U (2001) Surgical dislocation of the adult hip: a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 83-B:1119–1124
Herrera-Soto JA, Price CT (2009) Traumatic hip dislocations in children and adolescents: pitfalls and complications. J Am Acad Orthop Surg 17(1):15–21
Hughes LO, Beaty JH (1994) Fractures of the head and neck of the femur in children. J Bone Joint Surg Am 76:283–292
Walls JP (1992) Hip fracture-dislocation with transepiphyseal separation: case report and literature review. Clin Orthop Relat Res 284:170–175
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Smith, C., Klingele, K. (2017). Hip Dislocation with Proximal Femoral Physeal Fracture. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_86-1
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DOI: https://doi.org/10.1007/978-3-319-28226-8_86-1
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28226-8
Online ISBN: 978-3-319-28226-8
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