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不那么欢乐的旋转木马:一名9岁儿童的创伤性髋关节前下脱位

The Not-So-Merry-Go-Round: Traumatic Inferior-Anterior Hip Dislocation in a 9-Year-Old.

作者信息

Low Lyndon Y H, Baig M N, Murray Odhran

机构信息

Trauma and Orthopaedics, University Hospital Galway, Galway, IRL.

Orthopaedics, University Hospital Galway, Galway, IRL.

出版信息

Cureus. 2022 Aug 29;14(8):e28566. doi: 10.7759/cureus.28566. eCollection 2022 Aug.

Abstract

Merry-go-rounds are not as innocuous as they may seem. Pediatric hip anterior-inferior dislocations are very rare and can be associated with low-energy trauma. Prompt recognition of pediatric hip dislocations is vital, and this should be treated as a time-sensitive orthopedic emergency. Closed reduction within 6 hours minimizes the risk of avascular necrosis (AVN). We present a case of a 9-year-old boy with an inferior-anterior hip dislocation following low energy trauma while playing on a merry-go-round. The patient was emergently brought to the theatre for closed reduction under general anesthesia within 6 hours. At his 12-month follow-up, he has a full range of motion without any pain.

摘要

旋转木马并非看上去那么无害。小儿髋关节前下脱位非常罕见,可能与低能量创伤有关。及时识别小儿髋关节脱位至关重要,应将其视为时间紧迫的骨科急症。6小时内进行闭合复位可将缺血性坏死(AVN)的风险降至最低。我们报告一例9岁男孩在玩旋转木马时遭受低能量创伤后发生髋关节前下脱位的病例。该患者在6小时内被紧急送往手术室接受全身麻醉下的闭合复位。在他术后12个月的随访中,他的关节活动范围正常,没有任何疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff21/9520233/579523d807d5/cureus-0014-00000028566-i01.jpg

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