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一名青少年患者双侧不对称创伤性髋关节脱位伴股骨头骨骺分离。

Bilateral asymmetric traumatic hip dislocation associated with epiphysiolysis of the femoral head in an adolescent patient.

作者信息

Sánchez-Vergel Alfredo, Leal Milán Fernando Zarate, Arias Andrés Felipe Fonseca, Álvarez Alejandro Gallego

机构信息

Fundación Valle del Lili, Departamento de Ortopedia, Cra 98 No. 18-49, Cali 760032, Colombia.

Universidad Icesi, Calle 18 No. 122-135, Cali, Colombia.

出版信息

Trauma Case Rep. 2023 Aug 7;47:100882. doi: 10.1016/j.tcr.2023.100882. eCollection 2023 Oct.

Abstract

BACKGROUND

Bilateral asymmetric hip dislocation is uncommon in childhood, even more when associated with epiphyseal slippage, leading to catastrophic complications of the affected joints, requiring additional surgical interventions, and increasing patient morbidity. In this article, we present the case of a 15 years-old patient with a post-traumatic bilateral hip dislocation with epiphyseal slippage, initially managed with open reduction and fixation, with subsequent need of total hip arthroplasty. Afterward, the patient presented satisfactory outcomes.

CONCLUSION

Hip dislocation associated with transphyseal fracture is an injury that leads to joint destruction, and despite timely management, the prognosis is poor; however, efforts should be made to provide opportune care to obtain the best outcome.

摘要

背景

双侧不对称性髋关节脱位在儿童期并不常见,当与骨骺滑脱相关时更是如此,这会导致受影响关节出现灾难性并发症,需要额外的手术干预,并增加患者的发病率。在本文中,我们介绍了一名15岁患者的病例,该患者因创伤后双侧髋关节脱位并伴有骨骺滑脱,最初采用切开复位内固定治疗,随后需要进行全髋关节置换术。之后,患者取得了满意的结果。

结论

与经骨骺骨折相关的髋关节脱位是一种导致关节破坏的损伤,尽管进行了及时治疗,但其预后较差;然而,应努力提供适时的护理以获得最佳结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e5/10425708/9d47b6609b7d/gr1.jpg

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