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[一名6岁男童的创伤性髋关节脱位:虽罕见但棘手]

[Traumatic hip dislocation in a 6-year-old male child: Seldom but demanding].

作者信息

Mörsdorf P, Lauer A, Histing T, Pohlemann T, Burkhardt M

机构信息

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.

出版信息

Unfallchirurg. 2017 Apr;120(4):350-354. doi: 10.1007/s00113-016-0268-z.

Abstract

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.

摘要

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。

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