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  • Rare case of posterior hip dislocation caused by low-energy trauma in a boy in early adolescence: acute and long-term management–review of the literature

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Case Reports: Rare disease
Rare case of posterior hip dislocation caused by low-energy trauma in a boy in early adolescence: acute and long-term management–review of the literature
  1. Magdalena Kwiatkowska1,2,
  2. Kyle Coombes1 and
  3. Amir Siddique2
  1. 1American University of the Caribbean School of Medicine BV, Cupecoy, Sint Maarten (Dutch part)
  2. 2Department of Orthopedics, Our Lady of Lourdes Hospital, Drogheda, Ireland
  1. Correspondence to Kyle Coombes; KyleCoombes{at}students.aucmed.edu

Abstract

The incidence of hip dislocations in teenagers caused by low-velocity trauma is a relatively rare finding and constitutes a true orthopaedic emergency. Prompt reduction is recommended to avoid long-term complications. On average, the non-weight-bearing period ranges from 4 to 6 weeks. Follow-up with radiographic imaging is necessary to evaluate for hip pathologies over time. In this paper, we will report the findings of a posterior hip dislocation in a healthy boy in early adolescence caused by a ground level fall on grass with review of the literature. Closed reduction of the right hip was performed within 4 hours of the dislocation. A 6-week non-weight-bearing period was recommended before transitioning into a 2-week period of partial weight-bearing. At 12 weeks, our patient returned to sports and had negative radiographic and clinical findings of hip pathology throughout the follow-up period.

  • Orthopaedics
  • Paediatrics
  • Trauma

http://dx.doi.org/10.1136/bcr-2021-248020

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    Footnotes

    • Contributors MK—study conception and design, manuscript draft, review and approval of the final version. KC—writing of the discussion and review of literature for treatment management, review of the final version and corresponding author. AS—study conception and design, review and approval of the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.