American University of the Caribbean School of Medicine BV, Cupecoy, Sint Maarten (Dutch part).
Department of Orthopedics, Our Lady of Lourdes Hospital, Drogheda, Ireland.
BMJ Case Rep. 2022 Aug 25;15(8):e248020. doi: 10.1136/bcr-2021-248020.
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.
青少年因低能量创伤导致的髋关节脱位发生率较低,但其属于真正的骨科急症。建议及时复位以避免长期并发症。通常,非负重期为 4 至 6 周。需要进行影像学随访,以随时间评估髋关节病变情况。本文报告了一例青少年健康男孩因平地跌落在草地上导致的后向性髋关节脱位病例,同时对相关文献进行了复习。髋关节脱位后 4 小时内行闭合复位。建议非负重期为 6 周,然后过渡到部分负重 2 周。12 周时,患者恢复运动,在随访期间,影像学和临床检查均未见髋关节病变的阳性结果。