Cases reported "Hip Injuries"

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1/27. Recurrent traumatic dislocation of the hip joint at the age of 13 and 17 years. A case report.

    We report a case of a recurrent traumatic dislocation of the hip joint in a young man at the age of 13 and 17. The patient had retroversion of the femoral neck, instead of a physiological anteversion. We found no consensus about the management of a recurrent traumatic dislocation of the hip joint in the literature. The various therapeutic options are discussed. We advised posterior capsulorraphy with femoral rotation osteotomy. The patient refused surgery.
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keywords = dislocation
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2/27. Traumatic posterior dislocation of hip in children.

    Traumatic posterior dislocation of the hip joint in children is an uncommon injury. It constitutes a true orthopedic emergency. It makes up over 80% of pediatric hip dislocations. In children, it can occur as a result of minimal trauma, which is attributed to a soft pliable acetabulum and ligamentous laxity. In skeletally mature adolescents, a greater force is required to dislocate the hip joint. Delay in reduction is associated with long-term complications such as avascular necrosis and degenerative arthritis. Avascular necrosis is related to the duration of dislocation. A poorer prognosis is associated with delay in reduction beyond 6 hours, advanced skeletal maturity, or multiple traumas. Prompt reduction minimizes complications. We report two cases of traumatic posterior dislocation of hip in children aged 3 and 14 years. Both were reduced within 6 hours of dislocation, and review at 6 months revealed normal examination and no evidence of any post-traumatic changes. Post-reduction treatment remains without a consensus. This review highlights the clinical presentation, management, and time-sensitive complications of the injury.
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ranking = 1.5
keywords = dislocation
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3/27. Luxatio erecta of the hip. An interesting case report.

    This is a case report of an inferior dislocation of the hip in a 5 1/2-year-old child, characterized by acute flexion with slight abduction of the hip and flexion of the knee. The dislocation is reducible by traction in a cephalad direction, gradual extension and internal rotation of the hip.
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keywords = dislocation
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4/27. Non-operative management of central fracture-dislocations of the hip.

    Thirty-eight patients with central fracture-dislocations, seen over a seven-year period and all treated non-operatively, were evaluated. A follow-up study was done on twenty-four patients; the remainder had either died or could not be located. Several techniques were used to maintain the reduction obtained by closed manipulation done under anesthesia. The superiority of the method of traction using pins in the distal and proximal lateral parts of the femur and the importance of prolonged traction were demonstrated.
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keywords = dislocation
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5/27. Traumatic dislocation of hip joint with fracture of shaft of femur on the same side.

    Four cases of traumatic dislocation of the hip joint with fracture of the shaft of femur on the same side, and one case of bilateral hip joint dislocation with a fracture of shaft of femur on one side are reported. Pitfalls in diagnosis and hazards of delayed treatment are emphasized. methods of treatment are outlined. Complications such as avascular necrosis of the head of the femur and sciatic nerve palsy are discussed. Avascular necrosis of the head of the femur is not inevitable even after reduction of the joint has been delayed for several days.
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keywords = dislocation
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6/27. Late open reduction of traumatic dislocation of the hip. Report of three cases.

    Three patients were reviewed seven, eight and fourteen years after delayed open reduction of traumatic posterior dislocation of the hip. The delay between injury and operation varied from twenty-eight to ninety-three days. At the time of review symptoms were minimal or absent, and in all cases the injured hip was clinically normal. Radiological examination showed loss of articular cartilage in one hip and trabecular changes in the bone of all three. On the basis of these three results the traditional pessimism about prognosis in such cases may not be justified.
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ranking = 0.83333333333333
keywords = dislocation
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7/27. Traumatic dislocation of the hip in children. A report of 4 cases.

    During a 1-year period 4 children, aged 4-14 years, suffering from traumatic dislocation of the hip were treated at H. F. Verwoerd Hospital. This is a rare injury and constitutes 0.335% of injuries seen in this unit. Two cases of anterior dislocations, which are even more rare, are included in this study. This article emphasises the importance of this injury in all cases of children subjected to severe trauma. However, as illustrated by 1 case, mild trauma may be sufficient to cause a dislocated hip in the young child.
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keywords = dislocation
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8/27. Open traumatic posterior dislocation of the hip. A case report.

    A case of open traumatic posterior dislocation of the hip is presented. The femoral head and neck were completely out of the skin and there were accompanying fractures of the acetabular floor, the ischial ramus and the greater trochanter. To our knowledge, such a case has not been reported previously and this, together with its interesting mechanism, has led us to report the case. It was followed for 18 months and roentgenographic and 99mtechnetium sulphur colloid scanning studies showed avascular necrosis and osteoarthritis.
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ranking = 0.83333333333333
keywords = dislocation
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9/27. Traumatic anterior dislocation of the hip joint with posterior acetabular wall fracture.

    The incidence of traumatic hip dislocation has increased in recent years as a result of high-energy trauma. Anterior hip dislocation forms less than 10-15% of all traumatic hip dislocations. Only a few case reports describe anterior dislocation along with acetabular fractures. The acetabular fracture involved the anterior wall or column in all such cases. We describe a rare case in which anterior superior dislocation of the hip was associated with a large fracture fragment of theposterior acetabular rim and adjacent wall.
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ranking = 1.5
keywords = dislocation
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10/27. Reduction of a nonconcentrically relocated hip dislocation in a seven-year-old boy.

    Traumatic dislocation of the hip in childhood is a rare injury. Treatment usually consists of a closed reduction and some form of immobilization. Inability to obtain a concentric reduction by closed means is commonly attributable to soft-tissue interposition. This is a report of a method not previously described for obtaining reduction of a nonconcentrically reduced traumatic hip dislocation without an open surgical procedure.
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ranking = 1
keywords = dislocation
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