Mörsdorf P, Lauer A, Histing T, Pohlemann T, Burkhardt M
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universität des Saarlandes, Homburg/Saar, Deutschland.
Abteilung für Chirurgie, Segment Unfallchirurgie und Orthopädie, Handchirurgie, Evangelisches Stadtkrankenhaus Saarbrücken, Saarland Kliniken, Großherzog-Friedrich-Str. 44, 66111, Saarbrücken, Deutschland.
Unfallchirurg. 2017 Apr;120(4):350-354. doi: 10.1007/s00113-016-0268-z.
Traumatic hip dislocations in children are not frequent but constitute true emergencies. They require urgent reduction because of the risk of consecutive avascular necrosis of the femoral head. We report a 6-year-old boy with traumatic posterior hip dislocation on a vacation abroad. After closed reduction the day of the accident, a hip spica cast was applied and the patient was transferred home. Once home, X‑ray and CT diagnostics were completed by MRI. In future, long-term clinical and radiological investigations for avascular necrosis and growth disorders, as well as thoroughly informing the parents, should be mandatory.
儿童创伤性髋关节脱位并不常见,但却是真正的急症。由于存在股骨头继发缺血性坏死的风险,需要紧急复位。我们报告一名6岁男孩,在国外度假时发生创伤性后髋关节脱位。事故当天进行闭合复位后,应用了髋人字石膏,患者被转运回家。回家后,通过MRI完成了X线和CT诊断。今后,应对缺血性坏死和生长障碍进行长期临床和影像学检查,并充分告知家长,这是必不可少的。