Avery Daniel M, Carolan Gregory F
Orthopedic Surgery Resident, Department of Orthopedic Surgery, St. Luke's Hospital and Health Network, Bethlehem, Pennsylvania.
Am J Orthop (Belle Mead NJ). 2013 Sep;42(9):E81-3.
Traumatic hip dislocation is a rare but potentially devastating injury in a child. Although most hip dislocations are posterior, other variants have been described. An anterior dislocation in the pediatric population is uncommon and, to our knowledge, this is the first case of anterior-inferior (obturator) dislocation (ie, the femoral head lies in the obturator foramen), to be reported in the English-language literature. In this article, we describe the case of a young boy with a traumatic obturator hip dislocation treated conservatively with closed reduction and followed closely for 1 year. The patient did not develop any sequelae throughout the follow-up year. This case report, along with a review of the literature, will help guide clinicians in the care of patients with this rare injury.
创伤性髋关节脱位在儿童中是一种罕见但可能具有毁灭性的损伤。虽然大多数髋关节脱位是后脱位，但也有其他类型的报道。小儿前脱位并不常见，据我们所知，这是英文文献中首次报道的前下（闭孔）脱位病例（即股骨头位于闭孔内）。在本文中，我们描述了一名患有创伤性闭孔髋关节脱位的小男孩，通过闭合复位进行保守治疗，并密切随访1年。在整个随访年度中，患者未出现任何后遗症。本病例报告以及文献回顾将有助于指导临床医生对这种罕见损伤患者的治疗。
